Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis

This report presents a case of necrotizing pancreatitis resulting in a large hepatic subcapsular hematoma that led to development of hepatic ischemia and early stages of liver failure. Following surgical decompression, liver function dramatically improved, but large areas of peripheral hepatic infar...

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Published inRadiology case reports Vol. 15; no. 4; pp. 316 - 320
Main Authors Duncan, David P., Briese, Amanda K., Niemiec, Stephen, White, Rebekah, Picel, Andrew C., Hahn, Michael E.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.04.2020
Elsevier
Subjects
Gastrointestinal
Hepatic hematoma
Hepatic infarct
Necrotizing pancreatitis
Necrotizing pancreatitis
Hepatic hematoma
Hepatic infarct
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Summary:This report presents a case of necrotizing pancreatitis resulting in a large hepatic subcapsular hematoma that led to development of hepatic ischemia and early stages of liver failure. Following surgical decompression, liver function dramatically improved, but large areas of peripheral hepatic infarction had developed. This case demonstrates the risks of a rapidly expanding hepatic subcapsular hematoma, emphasizes the importance of recognizing and aggressively treating active bleeding, and cautions against administering anticoagulation and tissue-plasminogen activator in this clinical scenario.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2019.12.021