Hemorrhagic polycystic liver disease without the presence of polycystic kidney disease, a serious life-threatening condition: a case report. April 2015, Peru
complication is even rarer, with very few cases being reported. It can be life-threatening without a rapid intervention. Case report: A 40 year-old female who presented with moderate sharp right upper quadrant abdominal pain and nausea for one hour. Emergency department: blood pressure 130/80 mmHg...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de San Martín de Porres
2018-08-01
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| Series: | Horizonte Médico |
| Subjects: | |
| Online Access: | http://www.horizontemedicina.usmp.edu.pe/index.php/horizontemed/article/view/769/457 |
| Summary: | complication is even rarer, with very few cases being reported. It can be life-threatening without a rapid intervention.
Case report: A 40 year-old female who presented with moderate sharp right upper quadrant abdominal pain and nausea for one hour.
Emergency department: blood pressure 130/80 mmHg, heart rate 100 beats per minute, temperature 37 °C, O2 saturation 99 %, respiratory rate 22 breaths per minute. On examination, soft and relaxed abdomen, right upper quadrant abdominal pain, no visceromegaly, positive Murphy’s sign and rebound sign.
Labs: hematocrit 34 %, hemoglobin 11.4 g/dL, white blood cells 12190, amylase 70 U/L.
Abdominal ultrasound: Polycystic liver disease with ruptured cyst, abundant free subcapsular fluid within cavity, without pancreas and kidneys injury.
Procedures: emergency exploratory laparoscopy, fluid drainage and aspiration, and partial cystectomy. Favorable evolution. Appointment with patient´s direct relatives for further studies. |
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| ISSN: | 1727-558X 2227-3530 |