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Muscle Tamponade to Control Presacral Venous Bleeding

Report of Two Cases

  • Published:
Diseases of the Colon & Rectum

Abstract

Massive presacral hemorrhage following rectal mobilization for benign or malignant conditions is an uncommon complication but one that is alarming and often difficult to treat. A variety of methods of hemostasis have been described, all with mixed degrees of success. We have used a segment of free rectus abdominis muscle to provide tamponade to the presacral bleeding point in two patients with severe bleeding. The technique was successful and may be considered in cases of problematic hemorrhage when other techniques have failed or inapplicable.

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Authors and Affiliations

    Authors
    1. Feza H. Remzi M.D.
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    2. Mustafa Oncel M.D.
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    3. Victor W. Fazio M.B., M.S.
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    Remzi, F.H., Oncel, M. & Fazio, V.W. Muscle Tamponade to Control Presacral Venous Bleeding. Dis Colon Rectum 45, 1109–1111 (2002). https://doi.org/10.1007/s10350-004-6369-8

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    • DOI: https://doi.org/10.1007/s10350-004-6369-8

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