Background: Postoperative bleeding may be complicated by failure to identify the site of bleeding, multiple bleeding points, and persistent hemorrhage despite surgical intervention.
Case: Activated recombinant factor VII was used successfully in a patient with life-threatening postsurgical bleeding after resection of two large extraperitoneal pelvic sarcomas.
Conclusion: In severe hemorrhage, hemostasis can be achieved with activated recombinant factor VII.
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