Interventional Management of Subcapsular Hepatic Hematoma with Hepatic Compartment Syndrome After Laparoscopic Adrenalectomy
- Authors
- Lee, Hyoung Nam; Cho, Sung Gi; Lee, Woong Hee
- Issue Date
- Apr-2019
- Publisher
- Springer Verlag
- Keywords
- Subcapsular hepatic hematoma; Hepatic compartment syndrome; Laparoscopic adrenalectomy; Therapeutic embolization; Percutaneous catheter drainage
- Citation
- CardioVascular and Interventional Radiology, v.42, no.4, pp 625 - 628
- Pages
- 4
- Journal Title
- CardioVascular and Interventional Radiology
- Volume
- 42
- Number
- 4
- Start Page
- 625
- End Page
- 628
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4636
- DOI
- 10.1007/s00270-018-02158-6
- ISSN
- 0174-1551
1432-086X
- 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.
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Collections - College of Medicine > Department of Radiology > 1. Journal Articles
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