A subcapsular hepatic hematoma may occur in a number of situations. It may have little significance if small but a large hematoma can rupture with serious intra-abdominal hemorrhage.
Causes of subcapsular hepatic adenoma:
(1) pregnancy (especially with HELLP or pre-eclampsia)
(2) trauma
(3) intra-abdominal surgery and/or liver biopsy
(4) anticoagulation
(5) peliosis
(6) Extracorporeal Shock Wave Lithotripsy (ESWL)
(7) fascioliasis
(8) hepatic vascular malformation including pseudoaneurysm
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