CODEN(USA): PCJHBA Hematoma under the liver Capsule (HSCF) Idiopathic Spontaneous: about a Case

L Benzaouia, A Siwane, J Dinari, S Lezar, F Essodegui
2016 The Pharmaceutical and Chemical Journal   unpublished
The subcapsular hematoma of the liver (HSCF) idiopathic spontaneous is a very rare desease, which most often occurs during pregnancy as part of HELLP syndrome. The idiopathic remains exceptional. We report the case of an 80 years hypertensive woman , admitted to the emergency pain of sudden onset of right upper quadrant ; the diagnosis was established HSCF through ultrasound, abdominal CT scan and MRI , no etiology could be found. A patient of 80 years, Mrs. B.F known hypertensive admitted to
more » ... ergency for pain of sudden onset of right upper quadrant, lasting for a few hours without notion of trauma or taking anticoagulants. The clinical examination revealed a conscious patient, with conjunctive slightly discolored, afebrile, pulse at 80 beats / min, blood pressure 100 mmHg of systolic and 60 mmHg of diastolic, and oxygen saturation at 98%. Abdominal examination revealed a defense of the right upper quadrant; the rest of the physical examination was unremarkable. Laboratory tests showed a normochromic normocytic anemia 10 .6 g / dl of hemoglobin, a blood platelet count 229,000 / microl. The crase balance showed a TP 95% TCA and 21, 8/25 (+/-) 5. Abdominal ultrasound found a heterogeneous collection subcapsular hepatic parenchyma right measuring 15x7 cm. Vesicle acalculous thin wall and a bile duct were also fine. Abdominal CT scan (Fig. 1a, 1b) showed a hypodense fluid collection subcapsular, extent of liver parenchyma right, the sharp limits and without contrast enhancement. Figure 1a: abdominal scan, axial section, without injection of contrast medium