{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:22:41Z","timestamp":1789690961956,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2020,10,19]]},"abstract":"<jats:p>We report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. A triphasic computed tomography scan revealed a large intrahepatic subcapsular haematoma (ISH) measuring<jats:inline-formula><a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><a:mn>21<\/a:mn><a:mtext>\u2009<\/a:mtext><a:mtext>cm<\/a:mtext><a:mo>\u00d7<\/a:mo><a:mn>3.1<\/a:mn><a:mtext>\u2009<\/a:mtext><a:mtext>cm<\/a:mtext><a:mo>\u00d7<\/a:mo><a:mn>17<\/a:mn><a:mtext>\u2009<\/a:mtext><a:mtext>cm<\/a:mtext><\/a:math><\/jats:inline-formula>surrounding the lateral surface of the right hepatic lobe without active bleeding. She was managed conservatively with serial monitoring of haemoglobin and haematoma size. A follow-up ultrasound scan after eight weeks confirmed complete resolution of the haematoma. Giant ISH is a fairly rare, but life-threatening complication following LC which merits special attention. This case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH, although being rare event, in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH.<\/jats:p>","DOI":"10.1155\/2020\/6410790","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:50:09Z","timestamp":1603155009000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy\u2014A Case Report and Literature Review"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9436-2974","authenticated-orcid":true,"given":"Eltaib","family":"Saad","sequence":"first","affiliation":[{"name":"Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne M.","family":"Browne","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Waldron","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Barry","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal Z.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006231"},{"issue":"1","key":"2","first-page":"101","article-title":"An analysis of the problem of biliary injury during laparoscopic cholecystectomy","volume":"180","author":"S. M. Strasberg","year":"1995","journal-title":"Journal of the American College of Surgeons"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2011.11.023"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-010-0128-y"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-018-0453-9"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80397-6"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1259\/bjrcr.20160118"},{"issue":"6","key":"8","first-page":"454","article-title":"Traction injury to the liver during laparoscopic cholecystectomy","volume":"4","author":"M. A. Fusco","year":"1994","journal-title":"Surgical Laparoscopy & Endoscopy"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-006-9686-z"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/00019509-199808000-00014"},{"issue":"5","key":"11","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1002\/j.1875-9114.1994.tb02859.x","article-title":"Subcapsular hematoma after laparoscopic cholecystectomy, associated with ketorolac administration","volume":"14","author":"B. L. Erstad","year":"1994","journal-title":"Pharmacotherapy"},{"issue":"8-9","key":"12","first-page":"351","article-title":"Hemoperitoneum from rupture of liver subcapsular hematoma after laparoscopic cholecystectomy attributed to ketorolac. Report of a case","volume":"29","author":"G. Guercio","year":"2008","journal-title":"Il Giornale di Chirurgia"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.4293\/108680811X13022985131615"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2015.52059"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-209800"},{"issue":"6","key":"16","article-title":"Ruptured hepatic subcapsular haematoma following laparoscopic cholecystectomy: report of a case","volume":"4","author":"K. Shibuya","year":"2010","journal-title":"Bioscience Trends"},{"issue":"3","key":"17","first-page":"322","article-title":"Subcapsular hematoma of the liver: a rare complication of the laparoscopic cholecystectomy","volume":"64","author":"G. I. Antsaklis","year":"2009","journal-title":"Minerva Chirurgica"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2005.15.48"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-4540-2"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1272\/jnms1923.65.478"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/6410790.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/6410790.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/6410790.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T20:32:27Z","timestamp":1698265947000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cris\/2020\/6410790\/"}},"subtitle":[],"editor":[{"given":"Marcus L.","family":"Quek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,10,19]]},"references-count":20,"alternative-id":["6410790","6410790"],"URL":"https:\/\/doi.org\/10.1155\/2020\/6410790","relation":{},"ISSN":["2090-6919","2090-6900"],"issn-type":[{"value":"2090-6919","type":"electronic"},{"value":"2090-6900","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,19]]}}}