• Anesthesia and analgesia · Apr 2004

    Case Reports

    Massive gastrointestinal bleeding complicating portal vein cross-clamping during liver transplantation.

    • Dominic A Cave and Barry A Finegan.
    • Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada.
    • Anesth. Analg. 2004 Apr 1; 98 (4): 935-6, table of contents.

    UnlabelledThis case report describes the occurrence of massive upper gastrointestinal hemorrhage immediately after cross-clamping of the inferior vena cava and hepatic portal vein. This case suggests that acute intraoperative hemorrhage from a varix should always be a consideration before liver transplantation in patients who have a history of upper gastrointestinal bleeding.ImplicationsA case of severe bleeding during liver transplantation is described in a patient who had a history of bleeding from the stomach before surgery. The importance of understanding surgical options and the ability to provide rapid massive transfusion in the management of this complication are discussed.

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