Major vascular injuries that cause massive Haemorrhage are rare but fatal.Approaches to reduce this complication and standardize its management required. Most of these occur at entry. There is a rise in morbidity mortality when surgeons do notrecognize treat early.The purpose study was assess laparoscopic bleeding during trocarentry outcome.

Antifibrinolytic agents are used chiefly for control of acute haemorrhage. Their applicability to chronic bleeding from inflammatory lesions of the gastrointestinal tract is illustrated by two case histories.

Three cases of haemorrhage from small bowel leiomyomata are reported. The features and management of this rare, but important cause of life-threatening gastrointestinal bleeding, are discussed.

three cases of spontaneous haemorrhage in the spinal canal, and the history of this condition, as it appears in the literature, was presented. In none of the cases did the haemorrhage result from an angioma; in two cases the bleeding was subdural and in one case extradural. The authors felt that slight trauma, which was usually held responsible for these episodes, was probably coincidental and ...

Hermansky-Pudlak syndrome (HPS) is a rare disorder characterised by oculocutaneous albinism, a bleeding tendency, and lipofuscinosis. This retrospective study reviews the clinical history and haematological features of 23 cases of HPS. Information was gathered from patient notes and by direct interview. Thirteen of the 23 children were of Turkish origin, 12 being members of four kindreds from t...

von Willebrand disease (VWD) encompasses a wide spectrum of bleeding disorders with severity ranging from moderate bleeding tendency to severe life threatening haemorrhage, estimated to affect approximately 0.5 2 per cent of the population in the Western countries1. Patients present with mucocutaneous bleeding symptoms, epistaxis, mucosal bleeding, prolonged bleeding from cuts, post-dental extr...

Bleeding is one of the rare presentations of Amyloidosis. The mechanism behind spontaneous or periinterventional bleeding in patients of amyloidosis is complex and involves multiple co-existing factors like coagulation factor deficiency, abnormal synthesis of coagulation factors due to advanced liver dysfunction, acquired Von Willebrand disease, platelet dysfunction, amyloid angiopathy and othe...

Intracranial bleeding has long been regarded as particularly lethal in haemophilia and is currently the most common cause of death among haemophiliacs in Finland (Ikkala, 1960), in Sweden (Blomback, 1962), and in New South Wales (Kerr, 1963). It appears that intracranial haemorrhage has not been influenced by modem therapy to the same extent as post-operative or traumatic bleeding at other site...

Termocoagulation by radiofrequency (RF) is widely used for ablation of liver neoplasms. Recently, innovative uses of RF were proposed, as to assist liver resection, to help partial splenectomy, or to treat ruptured hepatocellular carcinoma. A 21 years old man was admitted for massive haemorrhage from a right thoraco-abdominal knife wound. Massive haemothorax was drained but arterial bleeding wa...