ABSTRACT
Reactionary haemorrhage associated with periodontal flap surgery is an unusual finding. Periodontal flap surgery is a common treatment modality used to allow the exposure and correction of periodontal defects for the long-term maintenance of periodontal health. Though being a routine procedure, significant post-surgical haemorrhage is very uncommon due to the primary closure of the soft tissues following surgeries. Here is a case of 44-year-old systemically healthy female patient reported with an unusual condition of the formation of a "liver clot" or "currant jelly clot" following periodontal flap surgery.
ABSTRACT
Bleeding is a common sequela of oral and periodontal surgery. Generally, bleeding is self-limiting. Following traumatic injury or surgical procedures, hemorrhage can range from a minor leakage or oozing at the site, to extensive bleeding leading to complete exsanguinations. Significant postsurgical hemorrhage following periodontal surgery is uncommon due to the primary closure of the soft tissues. This case report describes the unique formation of a "liver clot" or "currant jelly clot" following periodontal flap surgery. The likelihood of this may be attributed to many factors, like infection, intrinsic trauma, presence of foreign bodies like splinter of bone, a fleck of enamel, or a piece of dental restorative dressing material that may cause repeated, delayed organization of blood coagulum.