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[Ruptured cirrhotic nodulus treated with collagen patch]

Zoltán Papp1, Tamás Czakó

  • 1Dr. Bugyi István Kórház Sebészeti Osztály Szentes, Sima F. u. 44-58. 6600. pappzoltandr@index.hu

Orvosi Hetilap
|December 7, 2007
PubMed

Insights

A ruptured cirrhotic nodule caused life-threatening abdominal bleeding. A novel collagen patch achieved rapid hemostasis, saving the patient and demonstrating its clinical utility.

Area of Science:

  • Hepatology
  • Surgical Innovation
  • Emergency Medicine

Background:

  • Cirrhosis frequently leads to complications, including spontaneous bleeding.
  • Hemorrhagic shock necessitates immediate intervention to stabilize patients.
  • Identifying the source of abdominal bleeding is critical for effective treatment.

Observation:

  • A 53-year-old patient with cirrhosis presented with acute abdomen and hemorrhagic shock.
  • Ultrasound (UH) and CT imaging indicated abdominal bleeding of unknown origin.
  • Surgical exploration revealed arterial bleeding from a ruptured cirrhotic nodule.

Findings:

  • Application of Tacho-Comb, a fibrinogen/thrombin-coated collagen patch, to the liver wound.
  • Immediate and effective hemostasis was achieved using the collagen patch.
  • The patient experienced an uneventful recovery and was discharged.

Implications:

  • Tacho-Comb offers a promising solution for controlling hepatic bleeding in cirrhotic patients.
  • This case highlights the successful management of a rare but severe complication of cirrhosis.
  • Minimally invasive hemostatic techniques are crucial in managing emergency surgical cases.

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