Management of Liver Trauma

Badger, Stephen A.; Barclay, Robert L.; Campbell, P.; Mole, Damian J.; Diamond, Tom

doi:10.1007/s00268-009-0215-z

Cited by 121 publications

(80 citation statements)

References 185 publications

(299 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The liver is the most common frequently injured organ following abdominal trauma [1,2]. Motor vehicle accidents and antisocial violent behavior account for the majority of liver injuries [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Scoring system for traumatic liver injury (SSTLI) in polytraumatic patients: a predictor of mortality

Kim

Park

et al. 2014

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Motor vehicle accidents and antisocial violent behavior account for the majority of liver injuries [1]. Non-operative management (NOM) of hepatic injuries is the treatment modality of choice in hemodynamically stable patients [3].…”

Section: Introductionmentioning

confidence: 99%

Scoring system for traumatic liver injury (SSTLI) in polytraumatic patients: a predictor of mortality

Kim

Park

et al. 2014

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…Significant vascular (portal vein or hepatic artery) injuries can be associated with a hematoma or parenchymal laceration (grade III) but usually ocur with major parenchymal disruption (grades IV and V). 7 In their 1995 multi-institutional review of injuries to the portal triad, Jurkovich et al reported 46 patients with penetrating injuries to the portal triad, including injuries to the portal vein. They reported a 38% survival rate when only the portal vein was injured and an 8% survival rate when other structures in the portal triad were injured.…”

Section: Discussionmentioning

confidence: 99%

Traumatic laceration of the portal vein

Kama

Coskun

Yüksel

et al. 2015

CJEM

View full text Add to dashboard Cite

Despite its relatively protected position, the liver is the most frequently injured solid intra-abdominal organ. 1 Most liver injuries can be managed conservatively, but about 5% to 10% require urgent laparotomy, usually when the mechanism of injury involves a vehicle accident and hemodynamic instability persists, in spite of 40 mL/kg of blood transfusion. 2,3 In particular, grades IV and V liver injuries may pose a challenge to the surgeon trying to control hemorrhage, the leading cause of mortality. 4 Traumatic injuries to the portal vein are rare but devastating. The mortality rate for portal vein injury ranges from 50% to 70%. A recent study of portal triad injuries has highighted the higher mortality rates associated with combination injuries involving multiple portal triad components, especially those that include portal vein injury. 5 This case study describes a unique case of relatively minor trauma in a child resulting in portal triad injury, sudden demise, and surgical repair. RÉSUMÉMalgré sa position relativement bien protégée, le foie est l'organe solide, intra-abdominal le plus souvent lésé (1). Dans la plupart des cas de lésion traumatique du foie, un traitement conservateur suffit, mais, dans environ 5 à 10 % des cas, il faut procéder à une laparotomie d'urgence, généralement lorsque ces lésions résultent d'un accident de véhicule et qu'elles entraî-nent une instabilité hémodynamique persistante, malgré des transfusions de sang à raison de 40 ml/kg (2,3). Les lésions hépatiques du 4 e ou 5 e degré en particulier peuvent compliquer la tâche du chirurgien, qui tente de réprimer l'hémorragie, cause principale de mortalité (4).Les lésions traumatiques de la veine porte sont rares, mais elles peuvent être mortelles. Le taux de mortalité lié aux lésions de la veine porte varie de 50 à 70 %. D'après une étude récente sur les lésions des espaces portes, les taux de mortalité les plus élevés sont associés à la concomitance de blessures touchant plusieurs constituants des espaces portes, notamment la veine porte (5). Sera exposé ici le cas plutôt exceptionnel d'un enfant ayant subi un trauma relativement peu important, qui a causé une lésion des espaces portes, s'est soldé par un effondrement soudain et a nécessité une réparation chirurgicale. CASE REPORTA 9-year-old boy was admitted to our hospital with abdominal pain after falling from his bike. His medical history revealed that he fell from his bike facedown 15 minutes before admission. His Glasgow Coma Scale (GCS) was normal at 15. Abdominal examination revealed tenderness on all abdominal quadrants by palpation. Initial vital signs were normal; however, focused assessment with sonography for trauma (FAST) showed common free fluid in the abdomen mainly on perihepatic, Morrison's pouch. His general condition was stable, so abdominal computed tomography (CT) was ordered. The CT scan showed a grade IV liver laceration on the falciform ligament enhancing left portal vein 6 cm in diameter, leading to free fluid

show abstract

“…The method of choice for assessment of liver damage is CT scan and it shows different types of liver injury such as hematoma, laceration and bleeding. 19,20 Conclusion Based on present study, road traffic injury was the most common cause of blunt abdominal trauma. CT scan with contrast is a useful imaging technique for assessment of internal organ damage in blunt abdominal trauma.…”

Section: Discussionmentioning

confidence: 99%