First report of hepatic hematoma after presumed Bothrops envenomation.

Abstract:

:In Latin America, Bothrops envenomation is responsible for the majority of accidents caused by venomous snakes. Patients usually present local edema, bleeding and coagulopathy. Visceral hemorrhage is extremely rare and considered a challenge for diagnosis and management. We report the first case of hepatic hematoma owing to the bothropic envenomation in a 66-year-old man who was bitten in the left leg. He presented local edema, coagulopathy, and acute kidney injury. Radiological findings suggested hepatic hematoma, with a volume of almost 3 liters. The hepatic hematoma was gradually absorbed without the need for surgical intervention with complete resolution in 8 months.

journal_name

Rev Soc Bras Med Trop

authors

Cunha FC,Heerdt M,Torrez PP,França FO,Molin GZ,Battisti R,Zannin M

doi

10.1590/0037-8682-0084-2015

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

633-5

issue

5

eissn

0037-8682

issn

1678-9849

pii

S0037-86822015000500633

journal_volume

48

pub_type

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