RESUMO
El Hematoma subcapsular hepático es una raracomplicación de la colecistectomía por videolaparoscopia la cual se presenta en mujeres, en la bibliografíase describe una asociación con el uso deketorolac.La cápsula de Glisson, es una cápsula fibrosaexterna, que envuelve firmemente al hígado y limita alhematoma subcapsular hepático (HSH),Suele manifestarse con síntomas similares a otrascomplicaciones hemorrágicasEl manejo del HSH se basa en el diagnosticoprecoz y tratamiento del sangrado o infección.Hasta tener más información se recomienda noutilizar ketorolac en el postquirúrgico.Presentamos un caso de una paciente de 68 añosque tras una colecistectomía por video presento un granhematoma que requirió internación y se realizo tratamientoconservador...
The liver has an outer fibrous capsule calledGlisson capsule , enveloping firmly . Which limits theintrahepatic subcapsular hematoma (ISH). ISH is a rarecomplication of cholecystectomy videolaparoscopy. We present a case of a patient of 68 years after acholecystectomy video present a large hematoma whichrequired hospitalization and conservative treatment waspossible. It occurs in women, There is an associationwith the use of ketorolac and usually presents with similarsymptoms to other bleeding complications andmanagement of ISH is based on early diagnosis andtreatment of bleeding or infection.To have more information it is recommended notto use in the postoperative ketorolac...
Assuntos
Humanos , Masculino , Colecistectomia Laparoscópica , Colecistectomia Laparoscópica/efeitos adversos , Hematoma Subdural , Hematoma Subdural Agudo/patologiaRESUMO
The majority of acute post-traumatic subdural hematomas (ASDH) require urgent surgical evacuation. Spontaneous resolution of ASDH has been reported in some cases. We report here on a case of a patient with a large amount of ASDH that was rapidly reduced. A 61-yr-old man was found unconscious following a high speed motor vehicle accident. On initial examination, his Glasgow Coma Score scale was 4/15. His pupils were fully dilated and non-reactive to bright light. Brain computed tomography (CT) showed a massive right-sided ASDH. The decision was made to treat him conservatively because of his poor clinical condition. Another brain CT approximately 14 hr after the initial scan demonstrated a remarkable reduction of the previous ASDH and there was the new appearance of high density in the subdural space adjacent to the falx and the tentorium. Thirty days after his admission, brain CT revealed chronic SDH and the patient underwent surgery. The patient is currently able to obey simple commands. In conclusion, spontaneous rapid resolution/reduction of ASDH may occur in some patients. The mechanisms are most likely the result of dilution by cerebrospinal fluid and the redistribution of hematoma especially in patients with brain atrophy.