First report of hepatic hematoma after presumed Bothrops envenomation

Autor: Fernanda Cristina Cunha, Maike Heerdt, Pasesa Pascuala Quispe Torrez, Francisco Oscar de Siqueira França, Graziela Zibetti Dal Molin, Rúbia Battisti, Marlene Zannin
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Revista da Sociedade Brasileira de Medicina Tropical, Vol 48, Iss 5, Pp 633-635 (2015)
Druh dokumentu: article
ISSN: 1678-9849
0037-8682
DOI: 10.1590/0037-8682-0084-2015
Popis: ABSTRACTIn Latin America, Bothrops envenomation is responsible for the majority of accidents caused by venomous snakes. Patients usually present local edema, bleeding and coagulopathy. Visceral hemorrhage is extremely rare and considered a challenge for diagnosis and management. We report the first case of hepatic hematoma owing to the bothropic envenomation in a 66-year-old man who was bitten in the left leg. He presented local edema, coagulopathy, and acute kidney injury. Radiological findings suggested hepatic hematoma, with a volume of almost 3 liters. The hepatic hematoma was gradually absorbed without the need for surgical intervention with complete resolution in 8 months.
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