• The cut surface of this liver shows evidence of
cirrhosis, with nodular regions that are visible on
• To the right of the specimen is a large organized blood
clot that is lying just beneath the capsule of the
• This is a typical location for hematomas of the
liver, and rupture of these hematomas into the
peritoneal cavity can have disastrous consequences to
• This particular hematoma shows evidence of significant level of organization and is therefore probably an old, healed lesion.
•Hematomas of the liver usually result from trauma.
•A hematoma is a collection of blood outside of the blood vessel, but confined within tissue.
•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.
|General Gross Description|
•Grossly, a hematoma appears as a collection of blood,
often between the capsule of the liver and the
•However, a hematoma can exist anywhere within the liver parenchyma.
|General Micro Description|
•Microscopically, the lesion is characterized by a collection of blood lying outside of a blood vessel, usually not surrounded by a capsule.
|No specific reference|