Interventional Management of Subcapsular Hepatic Hematoma with Hepatic Compartment Syndrome After Laparoscopic Adrenalectomy
- Abstract
- Hepatic compartment syndrome is an increase in intrahepatic pressure sufficient to cause compromised hepatic perfusion. Early recognition and prompt management are essential for preventing catastrophic consequences including ischemic liver failure and hypovolemic shock. This is the rare case of laparoscopic adrenalectomy resulting in subcapsular hepatic hematoma with hepatic compartment syndrome. Contrast-enhanced computed tomography demonstrated extensive subcapsular hepatic hematoma with collapse of portal vein and inferior vena cava suggesting impending compartment syndrome. Diagnostical catheter angiography of the liver revealed innumerable foci of petechial extravasation from disrupted isolated arteries. Emergent percutaneous catheter decompression and transarterial embolization were successful.
- All Author(s)
- H. N. Lee
; S. G. Cho
; W. H. Lee
- Issued Date
- 2019
- Type
- Article
- Keyword
- Subcapsular hepatic hematoma; Hepatic compartment syndrome; Laparoscopic adrenalectomy; Therapeutic embolization; Percutaneous catheter drainage
- Publisher
- European College of Angiography
Society of Cardiovascular Radiology
Cardiovascular and Interventional Radiological Society of Europe
- ISSN
- 0174-1551
- Citation Title
- CardioVascular and Interventional Radiology
- Citation Volume
- 42
- Citation Number
- 4
- Citation Start Page
- 625
- Citation End Page
- 628
- Language(ISO)
- eng
- DOI
- 10.1007/s00270-018-02158-6
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1734
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