First report of hepatic hematoma after presumed Bothrops envenomation

• Main Authors: Fernanda Cristina Cunha, Maike Heerdt, Pasesa Pascuala Quispe Torrez, Francisco Oscar de Siqueira França, Graziela Zibetti Dal Molin, Rúbia Battisti, Marlene Zannin
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2015-10-01
• Series: Revista da Sociedade Brasileira de Medicina Tropical
• Subjects: Snakebite; Bothrops envenomation; Hepatic hematoma
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000500633&lng=en&tlng=en

ABSTRACTIn 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.