Spontaneous hepatic hemorrhage secondary to retained intraperitoneal gallstones
Jost, C.J.; Smith, J.L.; Smith, R.S.
American Surgeon 66(11): 1059-1060
2000
ISSN/ISBN: 0003-1348 PMID: 11090019 Document Number: 512716
We describe the first reported case of spontaneous hepatic hemorrhage as a result of retained gallstones in the region of Morison's pouch eroding into the liver parenchyma. The patient presented with acute right upper quadrant abdominal pain 7 months after laparoscopic cholecystectomy. She sustained an episode of limited spontaneous hepatic hemorrhage as noted by abdominal sonography, computerized tomography, and a 4-g/dL hemoglobin drop. Laparoscopic exploration revealed the source of hemorrhage to be an inflammatory source created by retained intraperitoneal gallstones.