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Traumatic Liver Injury

Liver Trauma


Presentation

  • The patient also presented, a Ⅱ degree (OIS) right kidney laceration (AIS 2). Abdominal CT. Black arrow –metallic fragment. A – replacing right hepatic artery branch (branching off the superior mesenteric artery). Ⅴ – portal branch.[ncbi.nlm.nih.gov]
Pain
  • On clinical examination, the patient complained of right upper abdominal quadrant pain associated with fever between days 5–8.[ncbi.nlm.nih.gov]
Abdominal Pain
  • In the emergency room, the patient experienced right thoracic and right upper quadrant abdominal pain. His BP was of 110/70 mm Hg, HR 95 bpm, RR 32/min, SpO2 95 %, GCS 15.[ncbi.nlm.nih.gov]
Contusion
Fracture
  • Chest X–Ray showed right hemothorax with pneumothorax, multiple rib fractures and right clavicle fracture.[ncbi.nlm.nih.gov]

Treatment

  • Evolution in the treatment of complex blunt liver injuries . Curr Probl Surg. 2001; 38 :1–60. [ PubMed ] [ Google Scholar ] 14. Miller PR, Croce MA, Bee TK, Malhotra AK, Fabian TC.[ncbi.nlm.nih.gov]

Pathophysiology

  • Gastrointestinal Surgery: pathophysiology and managment. New York: Springer–Verlag; 2004. [ Google Scholar ] 3. Hammond JC, Canal DF, Broadie TA. Nonoperative management of adult blunt hepatic trauma in a municipal trauma center .[ncbi.nlm.nih.gov]

Prevention

  • Associated head injury should not prevent nonoperative management of spleen or liver injury in children . J Trauma. 1996; 41 :471–475. [ PubMed ] [ Google Scholar ] 17. Goan YG, Huang MS, Lin JM.[ncbi.nlm.nih.gov]

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