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]
Entire Body System
-
Falling
Case 3: A 38–year–old patient was admitted after an accidental fall. 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]
Workup
Other Pathologies
-
Hepatic Necrosis
In the post–embolization period, the patient experienced an important hepatic necrosis: AST 1720 UI/L, ALT 1927 UI/L, Total Bilirubin 6.20 mg/d ( Figure 15 ). [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]