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An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report

INTRODUCTION: Hepatic hemangioma is the most common benign tumor in the liver. Although intra-abdominal bleeding associated with its rupture is rare, but life-threatening. Here we report a case of ruptured hepatic hemangioma and applied method for controlling its bleeding. CASE REPORT: The patient w...

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Autores principales: Talebpour, Mohammad, Zabihi-Mahmoudabadi, Hossein, Payandemehr, Pooya, Momen, Maryam, Zali, Zahra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548079/
https://www.ncbi.nlm.nih.gov/pubmed/31172121
http://dx.doi.org/10.22114/AJEM.v0i0.114
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author Talebpour, Mohammad
Zabihi-Mahmoudabadi, Hossein
Payandemehr, Pooya
Momen, Maryam
Zali, Zahra
author_facet Talebpour, Mohammad
Zabihi-Mahmoudabadi, Hossein
Payandemehr, Pooya
Momen, Maryam
Zali, Zahra
author_sort Talebpour, Mohammad
collection PubMed
description INTRODUCTION: Hepatic hemangioma is the most common benign tumor in the liver. Although intra-abdominal bleeding associated with its rupture is rare, but life-threatening. Here we report a case of ruptured hepatic hemangioma and applied method for controlling its bleeding. CASE REPORT: The patient was a 45-year-old man who was referred after crashing his motorcycle into a car. The patient’s primary survey revealed intra-abdominal free fluid, but stable vital signs. Thirty minutes later, the patient’s systolic blood pressure dropped to 85 mmHg. Laparotomy was performed a large hemangioma was observed involving almost the entire left lobe of the liver. Using a liver needle and 2-0 chromic suture, we entered the hemangioma at the perforation site of the lower portion of the liver and exit from the upper part. Then, we entered the upper part of the liver and exited from the lower part, and then it was tied. According to this approach, hemangioma was packed from the lower segment of the liver. CONCLUSION: In this case, the patient’s abdomen was primarily closed without extra packing and embolization. The proposed method thus may be more effective compared to conventionally used methods.
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spelling pubmed-65480792019-06-06 An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report Talebpour, Mohammad Zabihi-Mahmoudabadi, Hossein Payandemehr, Pooya Momen, Maryam Zali, Zahra Adv J Emerg Med Case Report INTRODUCTION: Hepatic hemangioma is the most common benign tumor in the liver. Although intra-abdominal bleeding associated with its rupture is rare, but life-threatening. Here we report a case of ruptured hepatic hemangioma and applied method for controlling its bleeding. CASE REPORT: The patient was a 45-year-old man who was referred after crashing his motorcycle into a car. The patient’s primary survey revealed intra-abdominal free fluid, but stable vital signs. Thirty minutes later, the patient’s systolic blood pressure dropped to 85 mmHg. Laparotomy was performed a large hemangioma was observed involving almost the entire left lobe of the liver. Using a liver needle and 2-0 chromic suture, we entered the hemangioma at the perforation site of the lower portion of the liver and exit from the upper part. Then, we entered the upper part of the liver and exited from the lower part, and then it was tied. According to this approach, hemangioma was packed from the lower segment of the liver. CONCLUSION: In this case, the patient’s abdomen was primarily closed without extra packing and embolization. The proposed method thus may be more effective compared to conventionally used methods. Tehran University of Medical Sciences 2018-12-02 /pmc/articles/PMC6548079/ /pubmed/31172121 http://dx.doi.org/10.22114/AJEM.v0i0.114 Text en © 2019 Tehran University of Medical Sciences This open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 License (CC BY-NC 4.0). (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Case Report
Talebpour, Mohammad
Zabihi-Mahmoudabadi, Hossein
Payandemehr, Pooya
Momen, Maryam
Zali, Zahra
An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
title An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
title_full An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
title_fullStr An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
title_full_unstemmed An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
title_short An Effective Method for Controlling Bleeding in a Ruptured Hepatic Hemangioma: A Case Report
title_sort effective method for controlling bleeding in a ruptured hepatic hemangioma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548079/
https://www.ncbi.nlm.nih.gov/pubmed/31172121
http://dx.doi.org/10.22114/AJEM.v0i0.114
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