ArticleJournal of surgical case reports2026
Massive subcapsular hepatic haematoma after laparoscopic cholecystectomy managed by transarterial embolization.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Subcapsular hepatic haematoma is a rare, potentially life-threatening complication of laparoscopic cholecystectomy. A previously well woman in her 30s developed severe right upper quadrant pain and vomiting immediately after an apparently uncomplicated laparoscopic cholecystectomy. Multiphase computed tomography the next day showed a haematoma exceeding 19 cm with active bleeding from segments IVb and V. Angiography identified multifocal bleeding from hepatic arterial branches, including an accessory branch from the gastroduodenal artery. Selective gelatin-sponge embolization achieved angiographic haemostasis. Despite the haematoma subsequently rupturing into the peritoneal cavity and haemoglobin falling to 58 g/L, the patient remained haemodynamically stable and was managed with blood transfusion and surveillance without reoperation or drainage. This case supports early vascular imaging for disproportionate postoperative pain and physiology-guided management after embolization.
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