[The morphological characteristic of hepatorrhesis in the subjects with the blunt abdominal injury].

Autor: Pigolkin IuI, Dubrovina IA, Dubrovin IA, Shestakov AM, Volod'ko SN
Jazyk: ruština
Zdroj: Sudebno-meditsinskaia ekspertiza [Sud Med Ekspert] 2013 Jan-Feb; Vol. 56 (1), pp. 10-2.
Abstrakt: We have elucidated certain consistent patterns of the development of hepatic lesions associated with blunt abdominal trauma including primary and secondary local and distant ruptures of the liver of different localization, e.g. in the direction of the injurious force (central and anti-shock) and apart from it (peripheral). A kick in the stomach causes local (primary and secondary) or distant ruptures of the liver. A strong impact gives rise to local secondary and distant ruptures. Compression of the body with massive objects is associated with local primary ruptures whereas falling down on the stomach results only in anti-shock ruptures. Local (primary and secondary) as well as distant (anti-shock and peripheral) ruptures of hepatic parenchyma have different morphological properties and surface relief which makes it possible to discriminate between them. The consistent patterns of hepatorrhesis provide a methodological basis for the explanation of the physical nature of liver deformation and destruction of its tissue after a blunt abdominal trauma.
Databáze: MEDLINE