Hepatic tear as an elusive cause of hemoperitoneum complicating cardiac surgery.

@article{Kunst2008HepaticTA,
  title={Hepatic tear as an elusive cause of hemoperitoneum complicating cardiac surgery.},
  author={Jan Kunst{\'y}ř and Jan Tosovsky and Josef Korinek and Martin Stř{\'i}tesk{\'y}},
  journal={Interactive cardiovascular and thoracic surgery},
  year={2008},
  volume={7 3},
  pages={435-6}
}
We report an unusual source of intra-operative bleeding in a patient undergoing cardiosurgical reoperation. After sternotomy, hematocrit dropped significantly. Only intra-thoracic bleeding from adhesions was considered to be responsible for the anemia. During reperfusion, abdominal wall was distended with a bluish bulge in the right hemidiaphragm. Immediate laparotomy revealed bleeding from a tear in the right hepatic lobe without any diaphragm injury. The tear was likely caused by blunt trauma… CONTINUE READING