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Updated: Jul 9, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Spontaneous hepatic hemorrhage in older women
Thomas A Broughan1, Eric M Walser
1The University of Oklahoma College of Medicine, Tulsa, Department of Surgery, Tulsa, Oklahoma 74135-2512, USA. Thomas-Broughan@ouhsc.edu
Abstract:
Spontaneous liver hemorrhage in older women is not well described. We report an experience with five postmenopausal women who spontaneously bled from the liver. All five patients presented with acute bleeding. Four were treated nonoperatively. No tumor was identified in any patient. Four patients acutely were discharged alive and well, but one died after operation to control bleeding. Spontaneous liver hemorrhage can occur in a variety of clinical settings, but an association with older women taking hormone replacement and anticoagulation has not been reported.
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