title: Post-surgical hemorrhage: formation of a "liver clot" secondary to periodontal plastic surgery.
abstract: Bleeding is a common sequela of periodontal and oral surgery. Generally, bleeding is self-limiting. Special circumstances require additional procedures to reduce or eliminate active hemorrhage. Occasionally hemorrhage can be under control when a patient is dismissed from their surgical appointment and, subsequently, the patient will experience either slow seepage of blood or extravascular clot formation. This case report describes the unique formation of a "liver clot" or "currant jelly clot" following periodontal plastic surgery. The clotting cascade and common laboratory tests to evaluate bleeding disorders are also presented.
authors.affiliation: richard.druckman@haw.tamc.amedd.army.mil
authors.forename: R F
authors.initials: RF
authors.lastname: Druckman
authors.forename: E B
authors.initials: EB
authors.lastname: Fowler
authors.forename: L G
authors.initials: LG
authors.lastname: Breault
mesh_terms: D003094:Collagen; D005881:Gingiva / Q000637:transplantation; D005889:Gingival Recession / Q000601:surgery; D005893:Gingivoplasty / Q000009:adverse effects*; D006487:Hemostasis / Q000502:physiology; D006801:Humans; D006472:Oral Hemorrhage / Q000209:etiology* / Q000601:surgery; D021362:Palate, Hard; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000601:surgery; D016038:Skin Transplantation; D017768:Skin, Artificial; D013927:Thrombosis / Q000209:etiology / Q000601:surgery
chemical_list: C440568:Alloderm; D003094:Collagen