1991 Volume 24 Issue 2 Pages 213-215
A rare case of subcapsular liver hematoma due to severe peritonitis during CAPD is reported. A 24-year-old uremic male on CAPD was admitted on February 27, 1987, in a state of bacterial peritonitis. After admission, his general status deteriorated in spite of systemic and intraperioneal administration of several series of antibiotics with intermittent peritoneal dialysis. Because he developed serious sepsis, intermittent hemodialysis was started after removal of the Tenckhoff catheter. Three weeks later, CT incidentally showed a subcapsular liver mass indicative of abscess. At exploratory laparotomy on April 15, 1988, a ruptured subcapsular hematoma of the anterior aspect of the right lobe of the liver, which measured 9 by 8cm, was found. The capsule of the hematoma was debrided and hemostasis was achieved. The patient's recovery was uneventful; he was discharged on the 38 th postoperative day.