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John M. Erskine, MD

AMA Arch Surg. 1973;106(2):219-222.

Abstract
A laparotomy 11 hours following the onset of upper abdominal pain in a 39-year-old woman revealed a large hematoma in the right lobe of the liver and a liter of blood in the peritoneal cavity. Specific surgical measures to control the bleeding were not employed. A second episode of hemorrhage occurred 36 hours postoperatively, and thereafter there was no further bleeding. A total of 9 units of blood was used. An arteriogram 12 days later revealed a large defect in the right lobe of the liver consistent with a hematoma. A ruptured and subsequently thrombosed intrahepatic artery aneurysm is believed to be the cause of the bleeding. The intrahepatic defect was also apparent on scan; nine months later it was almost gone. There has been no further trouble during the subsequent two years.

Author Affiliations
San Francisco

From the University of California School of Medicine, San Francisco.

Footnotes
Accepted for publication Oct 10, 1972.

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