Spontaneous Couniaud Segmen V Hepatic Haemorrhage from Hepatic Cirrhosis: A Rare Clinical Complication and Post Operative Evalution

A spontaneous hepatic haemorrhage (SHH) is a rare condition caused by a rupture of the hepatic parenchyma that occurs without any external cause. It is a surgical emergency because it causes intra-abdominal bleeding, which, if left untreated, can lead to haemorrhagic shock and death. The clinical presentation is frequently non-specific but emergent, necessitating rapid diagnosis and treatment, which frequently involves a number of services such as interventional radiology, hepatology, and surgery.SHH is a rare event that is most commonly caused by HCC and hepatic adenoma, but there are numerous other causative lesions that include all recognised benign and malignant hepatic tumours, including metastatic cancer. The mechanism of spontaneous bleeding is unclear, but there is evidence of compromised vascular integrity, at least in patients with HCC, and the condition is more common in patients with connective tissue diseases. SHH is diagnosed based on a clinical index of suspicion in patients with a known underlying condition.However, this is not always as straightforward as SHH is a rare complication in patients with connective tissue disease with no previous history of trauma.

The aim of this study was to evaluate the long term outcome of this rare complication of hepatic cirrhosis by closed monitoring of the liver function and abdominal computerized tomography scanning.

Spontaneous hepatic haemorrhage is one of acute abdominal emergency case with high morbidity and mortality rate. Emergency operation play an important role in managing this case.