Subcapsular Liver Hematomas in a Patient on Chronic Hemodialysis

Brief Reports1 October 1980Subcapsular Liver Hematomas in a Patient on Chronic HemodialysisSONIA BORRA, M.D., MORRIS KLEINFELD, M.D.SONIA BORRA, M.D.Search for more papers by this author, MORRIS KLEINFELD, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-93-4-574 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAn increased prevalence of spontaneous bleeding manifestations has been observed in patients on chronic hemodialysis. They have included gastrointestinal bleeding (1), subdural hematomas (2), uremic hemopericardium (3), hemorrhagic pleural effusion (4), and spontaneous retroperitoneal bleeding (5). This case report describes another bleeding manifestation, namely, spontaneous subscapsular hematomas of the liver.A 62-year-old woman with chronic glomerulonephritis had been maintained on chronic hemodialysis since 2 November 1977. Dialysis was given thrice-weekly basis for 4 hours withthe Travenol hollow fiber, model 1200 (Travenol Laboratories, Inc.; Deerfield, Illinois). She received a 1500-unit loading dose of heparin intravenously and afterwards was placed on...References1. STEWARTTUCKWELLSINNETTEDWARDSWHYTE JLPKH. Peritoneal and hemodialysis: a comparison of their morbidity, and of the mortality suffered by dialysed patients. Q J Med. 1966;35:407-20. MedlineGoogle Scholar2. TALALLAHALBROOKBARBOURKURZE AHBT. Subdural hematoma associated with long-term hemodialysis for chronic renal disease. JAMA. 1970;212:1847-9. CrossrefMedlineGoogle Scholar3. ALFREYGOSSOGDENVOGELHOLMES AJDJJ. Uremic hemopericardium. Am J Med. 1968;45:391-400. CrossrefMedlineGoogle Scholar4. GALENSTEINBERGLOWRIELAZARUSHAMPERSMERRILL MSEJCJ. Hemorrhagic pleural effusion in patients undergoing chronic hemodialysis. Ann Intern Med. 1975;82:359-61. LinkGoogle Scholar5. MILUTINOVICHFOLLETTESCRIBNER JWB. Spontaneous retroperitoneal bleeding in patients on chronic hemodialysis. Ann Intern Med. 1977;86:189-92. LinkGoogle Scholar6. SHOOP J. Liver hematoma: diagnosis by isotope liver scan. Rocky Mt Med J 1969;66 (April):52-5. MedlineGoogle Scholar7. WARREN G. Radiologic Seminar CLXXXV: Subcapsular hematoma of the liver: a case report. J Miss State Med Assoc. 1978;38:186-8. Google Scholar8. SLATTERYABRAMSBERANBAUMLABOWARON LRESB. Spontaneous hematoma of liver during pregnancy. Obstet Gynecol. 1968;32:664-9. MedlineGoogle Scholar9. DAVISBERK TR. Benign hepatic lesions in women taking oral contraceptives. Gastrointest Radiol. 1977;2:213-9. CrossrefMedlineGoogle Scholar10. THOMASADKINSLANIERFOSTER CRVJ. The surgical management of intrahepatic hematomas. Am Surg. 1970;36:171-6. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Department of Medicine Kingsbrook Jewish Medical Center Brooklyn, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySystemic diseaseSuicide by severing the arterio-venous subclavian dialysis catheterUremic Bleeding: Pathogenesis and TherapyBleeding and hemostatic defects in uremiaSpontaneous large intra-abdominal wall haematoma as a rare complication in a maintenance haemodialysis patientDefects in platelet adhesion and aggregate formation in uremic bleeding disorder can be attributed to factors in plasma.The Bleeding Diathesis of UremiaAcute Complications Associated With HemodialysisEpoprostenol (PGI2, Prostacyclin) During High-Risk Hemodialysis: Preventing Further Bleeding ComplicationsBLEEDING IN RENAL FAILUREAcute Complications Associated with HemodialysisIntrahepatic haematoma in a patient on long‐term haemodialysisSpontaneous Mediastinal Hemorrhage in Patients on Chronic HemodialysisRICHARD T. ELLISON III, M.D., WILLIAM M. CORRAO, M.D., MICHAEL J. FOX, M.D., SIDNEY S. BRAMAN, M.D. 1 October 1980Volume 93, Issue 4Page: 574-575KeywordsGlomerulonephritisHemorrhageHeparinLiverMedical dialysisPleural effusion Issue Published: 1 October 1980 PDF downloadLoading ...