“LIVER CLOT” after periodontal plastic surgery

Abstract

Periodontal surgical procedures could present challenges to the body's clotting mechanism. One such challenge is the uncontrolled hemorrhage that can lead to a life-threatening complication. This case report describes the case of a 20-year-old systemically healthy male patient who reported with an unusual condition of the formation of a “liver clot,” also known as “currant jelly clot,” after 6 days following a semilunar coronally repositioned flap for root coverage. The clot was removed, and the area was irrigated. The patient was recalled after 1 week, wherein the healing was uneventful with no other complication. Uncontrolled bleeding can delay wound healing and activate infection. The liver clot formed, was part of the secondary hemorrhage following 24 h, which interfered with the organization of the physiologic blood clot. Patients should be instructed to undergo blood investigations prior to surgical procedures and should be informed about the possible postsurgical complications that may occur.

Keywords

• currant jelly clot
• hemorrhage
• hemostasis
• liver clot
• periodontal plastic surgery