Comprehensive Approach in Liver Clot Management Case Report

Elson, Natalia

doi:10.26717/bjstr.2018.03.000973

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…"Liver clot" or "currant jelly clot" describes a red, jelly-like clot that is rich in hemoglobin from the erythrocytes within the clot; it usually results from venous hemorrhage, characterized by slow, oozing, dark blood hemorrhage. 71,72 According to the literature, the "liver clot" formation generally occurs 24-48 hours after surgical procedures [73][74][75][76][77][78] and it is usually located at the margin of the flap, extending up to the crowns of the involved and neighboring teeth (Figure 14). Secondary hemorrhage (occurring 24 hours after surgery) might be attributed to several factors: intrinsic trauma (ie, tongue, chewing, and intentionally pulling surrounding muscles), presence of foreign bodies, premature suture loss, or inadequate marginal stability of the flap (ie, due to errors during suturing technique and flap management) that may cause repeated, delayed organization of blood coagulum.…”

Section: A B C D E F Gmentioning

confidence: 99%

Complications and treatment errors in root coverage procedures

Mazzotti

Mounssif

Rendón

et al. 2023

Periodontology 2000

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Root coverage procedures have become very common in clinical dental practice. Even though these techniques are considered safe, the clinician may face several issues during the therapy due to their surgical nature. Some of these issues can be defined strictly as complications inherent to the procedure, whereas others are medical errors or treatment errors. This review will focus on describing treatment errors and complications that may arise during different phases of the root coverage therapeutic process and on how to prevent and manage them.

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Section: A B C D E F Gmentioning

confidence: 99%

Complications and treatment errors in root coverage procedures

Mazzotti

Mounssif

Rendón

et al. 2023

Periodontology 2000

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“Liver Clots” in Periodontology: A 10‐Year Clinical Experience

Reddy,

Francis,

Harish

et al. 2024

Oral Diseases

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Objectives“Liver clots” are an uncommon complication following periodontal surgery, characterized by their distinctive gelatinous consistency and color resembling 'liver' tissue. Despite anecdotal reports, there is a lack of comprehensive evidence in the literature regarding its incidence, etiopathogenesis and optimal management strategies. This study aimed to address this knowledge gap by retrospectively analyzing cases to provide insights into this unusual post‐operative complication.Materials and MethodsIn this retrospective descriptive study, data spanning a decade (June 2013–June 2024) were collected from various dental centres. The data included patient demographics, medical history, surgical procedures performed, occurrence of “liver clot” formation, management measures and treatment outcomes.ResultsThe 10‐year retrospective data revealed a 2.03% incidence of “liver clots” among various periodontal procedures. The highest occurrence was observed following dental extractions, followed by periodontal surgical procedures. The observations also indicated a higher frequency in systemically healthy individuals.Conclusion“Liver clot” formation is a rare, but specific complication after periodontal surgery. Minimally invasive management approaches are effective, highlighting the importance of vigilance and prompt intervention for optimal patient outcomes. Further research is warranted to elucidate the exact etiopathogenesis and to establish evidence‐based management protocols for this unusual complication.

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Comprehensive Approach in Liver Clot Management Case Report

Cited by 2 publications

References 4 publications

Complications and treatment errors in root coverage procedures

Complications and treatment errors in root coverage procedures

“Liver Clots” in Periodontology: A 10‐Year Clinical Experience

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