Minaya Bravo Ana María, González González Enrique, Ortíz Aguilar Manuel, Larrañaga Barrera Eduardo
Indian J Surg. 2010 Dec;72(6):481-4. doi: 10.1007/s12262-010-0128-y. Epub 2010 Nov 18.
The appearance of subcapsular liver hematoma after a laparoscopic cholecystectomy (LC) is an infrequent complication and seldom studied. Some cases have been connected to ketorolac given during surgery and after surgery. Other described causes are : hemangiomas or small iatrogenic lesions that could be aggravated by administration of ketorolac. Coagulation dysfunction like circulating heparin as seen in hemathological diseases is cause of bleeding after aggressive procedures. We describe two cases of subcapsular liver hematoma after LC, both of them have been given intravenous ketorolac and one of them had multiple myeloma. We discuss the causes and treatment of it.
腹腔镜胆囊切除术(LC)后出现肝包膜下血肿是一种罕见的并发症,很少被研究。一些病例与手术期间及术后使用酮咯酸有关。其他已描述的原因包括:血管瘤或小的医源性病变,使用酮咯酸可能会使其加重。血液系统疾病中所见的如循环肝素导致的凝血功能障碍是侵袭性手术后出血的原因。我们描述了两例LC术后肝包膜下血肿的病例,两例均接受了静脉注射酮咯酸,其中一例患有多发性骨髓瘤。我们对其病因及治疗进行了讨论。