Patient Management
Jenny M. Kye, DDS (she/her/hers)
Pediatric Dentistry Resident (PGY2)
University of Southern California, Herman Ostrow School of Dentistry
University of Southern California, Herman Ostrow School of Dentistry
Long Beach, California, United States
Alexander Alcaraz, DMD
Program Director, Advanced Pediatric Dentistry
University of Southern California, Herman Ostrow School of Dentistry
Los Angeles, California, United States
A liver clot is a very rare, postoperative complication involving an incomplete clot formation that continues to bleed and grows over a surgical site. There are a limited number of case reports on liver clots with the majority being associated with periodontal surgeries and extractions in the adult population. There is only one case series previously reported in healthy pediatric patients after receiving stainless steel crowns (SSC).
This case report discusses a 4-year old male patient with Wiskott-Aldrich Syndrome who presented to Children’s Hospital of Orange County due to persistent gingival bleeding around primary molar SSCs, 48 hours after full mouth oral rehabilitation under general anesthesia. The objective of this report is to detail a rare occurrence of liver clot formations over SSCs and discuss probable causes and prevention recommendations to minimize complications in the future.