Related Experiment Video
Updated: Oct 11, 2025
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
116
Bothrops envenomation and liver hematoma
J Freire de Carvalho1, P P Quispe Torrez
1Instituto de Ciências da Saúde da Univesidade Federal da Bahia L, Brasil. jotafc@gmail.com.
European Review for Medical and Pharmacological Sciences
|December 3, 2021
Summary
Bothrops envenomation (BE) can rarely cause liver hematoma. Physicians should suspect this rare complication in patients with shock or abdominal pain after a snakebite and use ultrasound for diagnosis.
Area of Science:
- Toxicology
- Hepatology
- Clinical Medicine
Background:
- Bothrops envenomation (BE) is a significant public health concern, particularly in South America.
- Liver hematoma is a rare but serious complication of BE, potentially leading to severe outcomes.
Observation:
- A case of a young patient with BE presenting with shock and subcapsular liver hematoma is described.
- A systematic literature review identified only one prior case of BE associated with liver hematoma.
Findings:
- The combined analysis includes two cases of BE with liver hematoma, both originating from Brazil.
- One patient required blood transfusions, but both cases reported a favorable outcome.
- Liver hematoma represents an infrequent manifestation of Bothrops ophidism.
Implications:
- Clinicians should maintain a high index of suspicion for liver hematoma in patients presenting with shock or abdominal pain post-BE.
- Abdominal ultrasound is a crucial diagnostic tool for excluding liver hematoma in suspected cases.
- Early recognition and management are vital for improving patient outcomes in this rare complication.
Related Concept Videos
01:28Esophageal Varices-II: Clinical Features and Management
172
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
172
01:14Prevention of Further Absorption of Poison
957
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
957
01:26Anticholinesterase Agents: Poisoning and Treatment
1.1K
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
1.1K