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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...

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Related Experiment Video

Updated: May 8, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Spontaneous bleeding from liver after open heart surgery.

Najeeb H Mir1, Mian T Shah, Mahmoud Ali Obeid

  • 1Department of General Surgery, Armed Forces Hospital, Khamis Mushayt 61961, Saudi Arabia.

International Journal of Surgery Case Reports
|August 17, 2013
PubMed
Summary
This summary is machine-generated.

Intra-abdominal hemorrhage is a rare complication following open heart surgery. This case highlights spontaneous liver bleeding as a potential cause, emphasizing the need for awareness in clinical practice.

Keywords:
Intra-abdominal hemorrhage/etiologyLiver hematoma/spontaneousLow-molecular weight heparin/adverse effectsOpen heart surgery/complications

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Area of Science:

  • Cardiovascular Surgery
  • Hepatology
  • Gastroenterology

Background:

  • Intra-abdominal hemorrhage is an infrequent complication post-open heart surgery.
  • While splenic bleeding is documented, liver hemorrhage is exceptionally rare.
  • Low molecular weight heparin (LMWH) use has been associated with postoperative bleeding events.

Purpose of the Study:

  • To report a rare case of intra-abdominal hemorrhage originating from the liver after open heart surgery.
  • To discuss the potential causes and clinical implications of spontaneous liver bleeding in this context.
  • To contribute to the understanding of uncommon gastrointestinal complications after cardiac procedures.

Main Methods:

  • Case presentation of a 58-year-old male undergoing mitral valve repair.
  • Detailed description of the intra-abdominal hemorrhage occurring 8 hours post-surgery.
  • Surgical intervention involving exploratory laparotomy and liver packing to control bleeding.

Main Results:

  • The patient developed significant intra-abdominal hemorrhage post-mitral valve repair.
  • Exploratory laparotomy identified a ruptured sub-capsular liver hematoma as the source of bleeding.
  • Bleeding was managed successfully with liver packing.

Conclusions:

  • Spontaneous liver bleeding can occur as a rare complication after open heart surgery.
  • This case underscores the importance of considering hepatic hemorrhage in the differential diagnosis of postoperative bleeding.
  • Further investigation into the mechanisms of spontaneous liver bleeding post-cardiac surgery is warranted.