Spontaneous liver hemorrhage (SLH) is a serious, extremely rare, and life-threatening occurrence requiring a multidisciplinary approach. Since diagnosis might be difficult, a high mortality rate is reported. Survival depends on a prompt diagnosis followed by an appropriate management. If left untreated, SLH progresses, in fact, to a hemorrhagic shock and death. SLH is rarely idiopathic, whereas more commonly is secondary to severe preeclampsia and HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count) syndrome, hepatocellular carcinoma (HCC), adenoma, focal nodular hyperplasia or hemangioma, and connective tissue diseases. We report two patients presenting with an idiopathic SLH successfully treated with angioembolization, and the results of an extensive literature review.

Idiopathic spontaneous liver hemorrhage. A report of two cases and a review of the literature / Cirillo, Bruno; Brachini, Gioia; Zambon, Martina; Meneghini, Simona; Fonsi, Giovanni Battista; Simonelli, Luigi; Cicerchia, Pierfranco. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 0003-469X. - 92:4(2021), pp. 361-364.

Idiopathic spontaneous liver hemorrhage. A report of two cases and a review of the literature

Cirillo Bruno;Brachini Gioia
;
Zambon Martina;Meneghini Simona;Fonsi Giovanni Battista;Cicerchia Pierfranco
2021

Abstract

Spontaneous liver hemorrhage (SLH) is a serious, extremely rare, and life-threatening occurrence requiring a multidisciplinary approach. Since diagnosis might be difficult, a high mortality rate is reported. Survival depends on a prompt diagnosis followed by an appropriate management. If left untreated, SLH progresses, in fact, to a hemorrhagic shock and death. SLH is rarely idiopathic, whereas more commonly is secondary to severe preeclampsia and HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count) syndrome, hepatocellular carcinoma (HCC), adenoma, focal nodular hyperplasia or hemangioma, and connective tissue diseases. We report two patients presenting with an idiopathic SLH successfully treated with angioembolization, and the results of an extensive literature review.
2021
intrahepatic hematoma; spontaneous liver hemorrhage; spontaneous liver rupture
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Idiopathic spontaneous liver hemorrhage. A report of two cases and a review of the literature / Cirillo, Bruno; Brachini, Gioia; Zambon, Martina; Meneghini, Simona; Fonsi, Giovanni Battista; Simonelli, Luigi; Cicerchia, Pierfranco. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 0003-469X. - 92:4(2021), pp. 361-364.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1682117
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