CASE REPORT   

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

Copyright © 2003 EDIZIONI MINERVA MEDICA

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.

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.