25024632 Visualization

A 29 Age - year Age - old Age primipara History presented Clinical_event with complaints of persistent Detailed_description , severe Severity right Detailed_description -sided upper Biological_structure abdominal Biological_structure pain Sign_symptom during Detailed_description deep Detailed_description inspiration Detailed_description , physical Activity exercise Activity and on Detailed_description local Detailed_description pressure Detailed_description .
These complaints Coreference had developed Detailed_description gradually Detailed_description after giving Clinical_event birth Clinical_event one Date year Date earlier Date .
This pregnancy Clinical_event had been complicated by HELLP Disease_disorder syndrome Disease_disorder with a subcapsular Detailed_description liver Biological_structure hematoma Sign_symptom sized 20 Area cm Area × Area 5 Area cm Area , which had resolved Detailed_description spontaneously Detailed_description .
At current presentation, liver Diagnostic_procedure function Diagnostic_procedure tests Diagnostic_procedure were normal Lab_value .
She assured having never experienced signs suggestive of sexually Disease_disorder transmitted Disease_disorder diseases Disease_disorder or pelvic Disease_disorder inflammatory Disease_disorder disease Disease_disorder (PID) Disease_disorder .
She had never undergone intra Biological_structure - abdominal Biological_structure interventions Therapeutic_procedure .
An upper Biological_structure - abdominal Biological_structure magnetic Diagnostic_procedure resonance Diagnostic_procedure imaging Diagnostic_procedure revealed a density Sign_symptom between Biological_structure liver Biological_structure and Biological_structure diaphragm Biological_structure at the site Biological_structure of Biological_structure the Biological_structure former Biological_structure subcapsular Biological_structure hematoma Biological_structure , suspect of perihepatic Sign_symptom adhesions Sign_symptom (Figure ​1).
She was referred Clinical_event to the hepatobiliary Nonbiological_location surgeon Nonbiological_location , who performed a laparoscopy Diagnostic_procedure and confirmed the presence of a thick Detailed_description adhesion Sign_symptom between Biological_structure liver Biological_structure segment Biological_structure V/VIII Biological_structure and Biological_structure the Biological_structure diaphragm Biological_structure (Figure ​2).
Adhesiolysis Therapeutic_procedure was performed in the same session by monopolar Therapeutic_procedure diathermia Therapeutic_procedure and sharp Therapeutic_procedure dissection Therapeutic_procedure , followed by the instillation of 1.5 Dosage L Dosage Adept Medication ( 4% Medication icodextrin Medication solution Medication ) into Administration the Administration peritoneal Administration cavity Administration to prevent the formation of new adhesions.
On follow Clinical_event - up Clinical_event until Duration three Duration years Duration post Duration - surgery Duration , she was free of symptoms Sign_symptom .