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Chirurgia 2003 April;16(2):77-80

language: English

Treatment of a spontaneously rupturef hepatic hemangioma with absorbable packing

Di Palma R., Bellini M., Salvatore G., Caiazzo P., De Martino C., Kuhn J. H., Musella M.


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An original method, in emergency situation, to treat a ruptured hepatic hemangioma in a patient with liver cirrhosis and coagulation deficits was performed. An absorbable packing consisting of 2 layers of a hemostatic gauze as a first measure against the hemorrhage was used. It was then covered by an absorbable collagen tampon. To provide ultimate protection against further hemorrhage, this tampon was fixed with a surgical glue. Then, a sheet of peritoneum was attached to the liver surface around the rupture. This approach led to an immediate and permanent arrest of the hemorrhage.

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