Freire de Carvalho J, Quispe Torrez P P
Instituto de Ciências da Saúde da Univesidade Federal da Bahia L, Brasil.
Eur Rev Med Pharmacol Sci. 2021 Nov;25(22):6920-6923. doi: 10.26355/eurrev_202111_27240.
To describe a young patient who had a Bothrops envenomation (BE) and evolved with shock and subcapsular liver hematoma. Moreover, a review on BE and liver hematoma was also performed.
A systematic screening of articles was conducted and all articles on the association between BE and liver hematoma were included. A new case report is added to the published list. The following terms were used: "Bothrops" and "liver hematoma" or "liver hemorrhage."
This literature search found only one article describing one patient with BE and liver hematoma. We performed our analysis by adding our present case, with a total of 2 cases. Both patients came from Brazil. One of them needed blood transfusions. They both had a good outcome.
We systematically reviewed all published cases of BE and liver hematoma. It is a rare manifestation of ophidism. Physicians should be alert for patients with shock or abdominal pain after BE; they need to perform an ultrasound to exclude liver hematoma.
描述一名年轻的被矛头蝮蛇咬伤（BE）并发展为休克和肝包膜下血肿的患者。此外，还对矛头蝮蛇咬伤和肝血肿进行了综述。
对文章进行系统筛选，纳入所有关于矛头蝮蛇咬伤与肝血肿关联的文章。在已发表列表中新增一例病例报告。使用了以下检索词：“矛头蝮蛇”和“肝血肿”或“肝出血”。
本次文献检索仅发现一篇描述一名矛头蝮蛇咬伤合并肝血肿患者的文章。我们通过纳入本病例进行分析，共计2例。两名患者均来自巴西。其中一人需要输血。两人预后均良好。
我们系统回顾了所有已发表的矛头蝮蛇咬伤合并肝血肿病例。这是蛇咬伤的一种罕见表现。医生应对矛头蝮蛇咬伤后出现休克或腹痛的患者保持警惕；需进行超声检查以排除肝血肿。
