Abstract

Hepatic subcapsular hematomas (HSHs) are rare outside the context of trauma, endoscopic retrograde cholangiopancreatography, and pregnancy. Ruptured HSHs present with abdominal pain and hypotension, with high mortality. We present the patient case of a 69-year-old man readmitted with deep venous thrombosis and pulmonary embolus after uncomplicated laparoscopic prostatectomy. Soon after receiving heparin, he experienced acute abdominal distention and right upper quadrant pain. A large ruptured subcapsular hematoma with focal active bleeding was identified and eventually controlled surgically. We highlight that HSHs can complicate anticoagulant therapy. Awareness and prompt intervention can be lifesaving.

Original languageEnglish (US)
Article numbere220907
JournalAnnals of Internal Medicine Clinical Cases
Volume1
Issue number10
DOIs
StatePublished - Dec 2022

Keywords

  • Abdominal pain
  • Anticoagulant therapy
  • Endoscopic retrograde cholangiopan-creatography
  • Hematoma
  • Hemodynamics
  • Hemoglobin
  • Hemorrhage
  • Heparin
  • Hospital medicine
  • Hypotension
  • Liver
  • Pulmonary embolism

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine
  • Clinical Biochemistry

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