Spontaneous Couniaud Segmen V Hepatic Haemorrhage from Hepatic Cirrhosis: A Rare Clinical Complication and Post Operative Evalution | Chapter 10 | Issues and Developments in Medicine and Medical Research Vol. 8

 A spontaneous hepatic haemorrhage (SHH) is an uncommon disorder in which the hepatic parenchyma ruptures without apparent cause. It's a surgical emergency because it produces intra-abdominal bleeding, which can lead to haemorrhagic shock and death if it's not treated. The clinical presentation is typically non-specific but urgent, needing prompt diagnosis and treatment, which may include interventional radiology, hepatology, and surgery. SHH is an uncommon complication induced most usually by HCC and hepatic adenoma, although it can also be caused by a variety of other lesions, including all known benign and malignant hepatic tumours, as well as metastatic malignancy. The cause of spontaneous bleeding is unknown, but there is evidence of vascular impairment, at least in HCC patients, and the disorder is more common in people with connective tissue illnesses. In patients with a known underlying disease, SHH is diagnosed using a clinical index of suspicion. This is not always the case, as SHH is a rare consequence in people with connective tissue disease who have never been in a car accident.

The goal of this study was to assess the long-term prognosis of this uncommon complication of hepatic cirrhosis using continuous liver function monitoring and abdominal computed tomography scanning.

Spontaneous hepatic bleeding is a serious abdominal emergency with a high rate of morbidity and fatality. The management of this case relies heavily on emergency operations.

Author(S) Details

I. B. Budhi
Department of Surgery, Sebelas Maret University, Indonesia.

I. B. Metria
Medical Faculty, Sebelas Maret University, Indonesia.

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