Large subcapsular hematoma of the liver due to faja corset: a rare case report
| Autor: | Phaniram Sumanam, Ahmed Minhas, Maira Malik, Sheharyar Minhas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Liver tumor lcsh:Surgery Surgical intervention 03 medical and health sciences 0302 clinical medicine Hematoma Internal medicine Case report medicine lcsh:RC799-869 Subcapsular hematoma General Environmental Science medicine.diagnostic_test Abdominal Fluid business.industry Interventional radiology lcsh:RD1-811 Hepatology medicine.disease Baja Surgery body regions Liver Blunt trauma 030220 oncology & carcinogenesis Liver biopsy General Earth and Planetary Sciences Corset 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology medicine.symptom business |
| Zdroj: | Egyptian Liver Journal, Vol 10, Iss 1, Pp 1-5 (2020) |
| ISSN: | 2090-6226 |
| DOI: | 10.1186/s43066-020-00041-z |
| Popis: | Background Subcapsular hematoma of the liver is a potentially life-threatening but extremely rare condition. It is often caused by a blunt trauma or other predisposing conditions such as a liver tumor, intra-tumor hemorrhage, surgery, preeclampsia, liver biopsy, and hemodialysis. Predisposing causes of liver hematoma include its large size and proximity to fixed structures. To date, there have been no reported cases of subcapsular liver hematoma caused by tight clothing such as corsets. Our case report is about an extremely rare case of subcapsular hematoma of the liver caused by wearing a tight faja corset in a young healthy female. Case presentation A forty-five-year-old Spanish female without any underlying health problems presented with sudden onset epigastric and right upper quadrant abdominal pain after wearing a faja corset the night prior to the hospital presentation. CT abdomen was noted for subcapsular hematoma of the liver. Her symptoms persisted and repeat CT abdomen showing worsening of the liver hematoma. Patient had interventional radiology (IR) guided drainage and was subsequently discharged home. Conclusions Subscapular liver hematomas need to be considered in patients presenting with acute onset abdominal pain after wearing certain tight clothing. The necessity of an early and accurate diagnosis is vital for management as hemodynamically stable patients can be managed conservatively. Our patient was managed with IR-guided aspiration drainage of the hematoma. Surgery can be considered a last resort in case of life-threatening hemodynamic instability, peritoneal signs, free abdominal fluid, and failure of arterial embolization. Our case highlights the importance of early recognition of traumatic subcapsular hematomas to prevent life-threatening complications. |
| Databáze: | OpenAIRE |
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