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Delayed intrahepatic subcapsular hematoma after laparoscopic cholecystectomy

Steve M M de Castro1, Jim A Reekers, Boudewijn J Dwars

  • 1Department of Surgery, Slotervaart Hospital, Amsterdam The Netherlands. stevedecastro@me.com

Clinical Imaging
|August 28, 2012
PubMed

Intrahepatic subcapsular hematoma after laparoscopic cholecystectomy is a rare complication and is potentially life threatening. When radiologic studies confirm the presence of the hematoma, the decision to follow a conservative treatment should involve clinical monitoring. If there are signs of infection, the collection can safely be drained percutaneously. If there are signs of active bleeding, a selective embolization should be attempted first. If unsuccessful, subsequent surgical evacuation should be performed. We report the case of a patient with an intrahepatic subcapsular hematoma after laparoscopic cholecystectomy, which occurred 6 weeks after surgery, and review the literature concerning the management of these bleedings.

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