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Subcapsular Hematoma
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Subcapsular Hematoma

Superior external surface of liver showing traumatic laceration of right lobe and secondary subcapsular hematoma ( the dark areas ).
Liver has a sinusoidal circulation and is prone to severe bleed in case of trauma. There is no vascular wall to contract and help stop the bleeding.
(Description By:Martin Nadel, M.D. )
(Image Contrib. by: UCHC )
Hematoma
Etiology

Hematomas of the liver usually result from trauma.
Pathogenesis

A hematoma is a collection of blood outside of the blood vessel, but confined within tissue. ,
Epidemiology

Not common
General Gross Description

Grossly, a hematoma appears as a collection of blood, often between the capsule of the liver and the parenchyma.
However, a hematoma can exist anywhere within the liver parenchyma.
General Microscopic Description

Microscopically, the lesion is characterized by a collection of blood lying outside of a blood vessel, usually not surrounded by a capsule.
Clinical Correlation

Aside from the clinical condition that resulted in the hematoma, hematomas of the liver have no consequence.
Occasionally, a very large hematoma, which continues to collect blood and is subcapsular in location can rupture into the peritoneal cavity with disastrous consequences.
References
No specific reference
Hematoma
Synopsis by: T.V.Rajan, M.D., Ph.D. (T56000M37100)[494]
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