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An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
Mohammad Talebpour1, Hossein Zabihi-Mahmoudabadi1, Pooya Payandemehr2
1Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Advanced Journal of Emergency Medicine
|June 8, 2019
Summary
Ruptured hepatic hemangioma, a rare but life-threatening condition, was successfully managed using a novel internal packing technique. This method controlled bleeding without requiring external packing or embolization, offering a potentially more effective treatment for liver tumors.
Area of Science:
- Hepatobiliary surgery
- Surgical oncology
- Trauma surgery
Background:
- Hepatic hemangioma is the most common benign liver tumor.
- Rupture of hepatic hemangioma can cause life-threatening intra-abdominal bleeding.
- Trauma is a potential cause of hepatic hemangioma rupture.
Observation:
- A 45-year-old male presented with signs of intra-abdominal bleeding after a motorcycle accident.
- Laparotomy revealed a large hemangioma involving the left lobe of the liver.
- The patient developed hemodynamic instability with a significant drop in systolic blood pressure.
Findings:
- A novel surgical technique involving internal packing of the hemangioma was applied using sutures.
- The procedure successfully controlled the intra-abdominal bleeding.
- The patient's abdomen was closed without the need for external packing or embolization.
Implications:
- This internal packing method may offer an effective alternative to conventional treatments for ruptured hepatic hemangioma.
- Further studies are warranted to evaluate the long-term efficacy and safety of this technique.
- This approach could improve outcomes for patients with severe liver trauma and hemangioma rupture.
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