Two Rare Cases of Intrahepatic Subcapsular Hematoma After Laparoscopic Cholecystectomy
Minaya Bravo, AM González, E González, P Cardeñoso Payo, M Ortiz Aguilar, E Larrañaga
Citation Information :
Bravo M, González A, González E, Cardeñoso Payo P, Ortiz Aguilar M, Larrañaga E. Two Rare Cases of Intrahepatic Subcapsular Hematoma After Laparoscopic Cholecystectomy. World J Lap Surg 2008; 1 (3):46-48.
The appearance of subcapsular hematoma liver after a laparoscopic cholecystectomy is a complication few studied and few cases have been described in the literature. Some of them have been connected to administration of ketorolac during and after surgery, because of its anti-platelet activity. But other factors such as hemangioma or lacerations could play an important role as well. In addition, the presence of circulating heparin-like anticoagulant present in hematological diseases like leukemia, multiple myeloma or amyloidosis would increase the risk of bleeding. We present two cases of subcapsular hematoma liver after laparoscopic cholecystectomy, both of them were given ketorolac, and one of them had multiple myeloma.
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