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
OBJECTIVE: Although acute subdural hematoma (ASDH) and diffuse axonal injury (DAI) are commonly associated in victims of head injury due to road traffic accidents, there are only two clinico-pathological studies of this association. We report a clinical and pathological study of 15 patients with ASDH associated with DAI. METHOD: The patients were victims of road traffic accidents and were randomly chosen. The state of consciousness on hospital admission was evaluated by the Glasgow coma scale. For the identification of axons the histological sections of the brain were stained with anti-neurofilament proteins. RESULTS: Twelve of the 15 patients were admitted to hospital in a state of coma; in three patients, the level of consciousness was not evaluated, as they died before hospital admission. CONCLUSION: The poorer prognosis in patients with ASDH who lapse into coma immediately after sustaining a head injury, as described by several authors, can be explained by the almost constant association between ASDH and DAI in victims of fatal road traffic accidents.