A CASE REPORT OF RUPTURED ANEURYSM OF THE COMMON HEPATIC ARTERY CAUSED BY A DRAIN IN WHICH A USE OF GRF glue® WAS SUCCESSFUL

GRF glue® is a newly developed glue, which can be used for a longer period effectively and efficiently for covering wound. As it is a non-human serum derivative product, there is no chance of transmission of blood born diseases such as AIDS and Creutzfeldt-Jakob disease. Since January 1996 when an additional indication of the glue for reinforcement of hemostasis at hepatectomy was approved, its usage in the abdominal surgeries has been incresingly facilitated. This case involved a 75-year-old woman who underwent an extended left lobectomy for a hepatohilar bile duct cancer, The operation and early postoperative course were uneventful. On the 7th postoperative day, fresh blood appeared from a drain placed in the resected wound of the liver. An emergency operation was arranged to stop the bleeding. At laparotomy, a ruptured ulcerative pseudoaneurysm of the common hepatic artey (CHA) was seen. The aneurysm was caused by the friction of Duple drain placed over CHA to the edge of the remnant liver and ruptured. After surgical repair of the aneurysm, it was reinforced with GRF glue®. GRF glue® effecttively prevented the re-rupture.