Two rare cases of intrahepatic subcapsular hematoma after laparoscopic cholecystectomy

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.

Keywords: Circulanting heparin-like anticoagulants; Complications of laparoscopic cholecystectomy; Ketorolac and surgery; Laparoscopic cholecystectomy; Spontaneous subcapsular liver hematoma.