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Intrahepatic subcapsular hematoma complicating laparoscopic cholecystectomy
D S Bhandarkar1, A N Katara, R S Shah
1Department of Minimal Access Surgery, P. D. Hinduja National Hospital & Medical Research Centre, Veer Savrakar Marg, Mahim, 400 016 Mumbai, India. deeprajbhandarkar@hotmail.com
Surgical Endoscopy
|February 20, 2004
Summary
A rare case of intrahepatic subcapsular hematoma following laparoscopic cholecystectomy is presented. This complication was successfully managed with percutaneous drainage and antibiotics, leading to complete resolution.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Laparoscopic cholecystectomy is a common procedure for gallstones.
- Complications, though rare, require prompt recognition and management.
Observation:
- A 64-year-old woman developed symptoms 10 days post-laparoscopic cholecystectomy.
- Imaging revealed a large intrahepatic subcapsular hematoma.
Findings:
- The hematoma was successfully treated with percutaneous drainage and intravenous antibiotics.
- Complete resolution of the hematoma was observed within 4 months.
Implications:
- This case highlights a rare but manageable complication of laparoscopic cholecystectomy.
- Percutaneous drainage is an effective treatment for intrahepatic subcapsular hematomas.