Grade V Liver Injury Presented With Peritonitis Treated With Stapler-Assisted Hepatic Segmentectomy: A Case Report.
Autor: | Mena Albors L; General Surgery, University of Central Florida College of Medicine, Orlando, USA., Reiss S; Medical School, University of Central Florida College of Medicine, Orlando, USA., Shen A; Surgery, Hospital Corporation of America (HCA) Florida Ocala Hospital, Ocala, USA., Ang D; Trauma, Hospital Corporation of America (HCA) Florida Ocala Hospital, Ocala, USA.; Trauma, University of South Florida, Tampa, USA. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2023 Jul 06; Vol. 15 (7), pp. e41436. Date of Electronic Publication: 2023 Jul 06 (Print Publication: 2023). |
DOI: | 10.7759/cureus.41436 |
Abstrakt: | The liver is one of the most commonly injured solid organs in blunt abdominal trauma. In patients who are hemodynamically normal, most cases of blunt liver injuries are managed conservatively. At present, nonoperative management (NOM) is the standard of care for both minor and severe liver injuries. Usually, patients with severe liver injuries, i.e., grades IV and V, are treated with surgical intervention versus angioembolization depending if patients are hemodynamically stable or not. We present a hemodynamically stable 53-year-old male patient with a grade V blunt liver injury with complete avulsion of the left lobe of the liver after a motor vehicle collision (MVC). Very few cases of complete hepatic avulsions have been published in the literature. We discuss surgical management with stapler-assisted hepatectomy in emergency trauma laparotomy for bleeding control. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Mena Albors et al.) |
Databáze: | MEDLINE |
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