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A case of subcapsular hematoma of the liver following laparoscopic cholecystectomy Naoki KUBO 1 , Junichi YOSHIZAWA 1 , Masahiro SAKON 2 1Department of Surgery, Azumi General Hospital 2Department of Surgery, Nagano Municipal Hospital Keyword: 腹腔鏡下手術 , 胆囊摘出術 , 肝被膜下血腫 pp.745-748
Published Date 2014/11/15
DOI https://doi.org/10.11477/mf.4426200034
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A 78-year-old man diagnosed with choledocholithiasis had undergone endoscopic lithotomy 6 years ago but did not undergo cholecystectomy for cholelithiasis. He was referred for an examination of hematochezia and was found to have rectal cancer. Preoperative CT findings revealed choledocholithiasis and cholelithiasis. Laparoscopic anterior resection and cholecystectomy were performed one week after endoscopic lithotomy for choledocholithiasis. Two days after operation, progressive anemia was noted and abdominal CT and US showed a subcapsular hematoma of the liver. The patient improved with conservative therapy and was discharged. To prevent such complications following laparoscopic surgery, it is important that forceps are carefully handled during closure of the liver. We herein report a case of subcapsular hematoma of the liver following laparoscopic cholecystectomy with review of the literature.


Copyright © 2014, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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