Case: Hematoma of the liver

Sumon, 10 yrs of age from chittagong, was admitted with the complaints of fever for 7 days and passage of blood in the vomiting and stool for 3 days. He had a h/o trauma 15 days back.

Patient was alert but irritable, no jaundice, had rapid pulse and low pressure, was moderately pale. Patient had hematomegaly(4 cm) with severe tenderness.

Initially doctors was under the impresion of hepatitis. But his clinical condition was not fully correlating with hepatic failure to explain the hematomesis and melena.

His Hb was 3.4 gm/dl, ESR 82 mm/1st hour, TC of WBC-16000/cmm, Neutrophil-76%, Lympho -10%, Platelet 400,000/cmm, pheripheral blood film shows polymorphonuclear leaucocytosis.

His serum bilirubin was 1%, SGPT-157.5 unit/L, HbsAg negative, PT -normal.

USG reveals that hematoma/Abcess in the Rt love with approx. 5 cm X 6 cm in size.

We managed the patient with 2 units of blood and antibiotics.

Dr. Badrud Doza
Dr. Saiful Islam

Link: Hematoma of the Liver