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[Trauma of the liver and hepatic pedicle].

Authors
  • Cataldi, C1
  • Vennarecci, G
  • Tuccimei, U
  • Ballatore, S
  • Mazzarella Farao, R
  • 1 Divisione di Chirurgia Generale, Ospedale G. B. Grassi, ASL RM D, Roma, Italy.
Type
Published Article
Journal
Minerva chirurgica
Publication Date
August 2003
Volume
58
Issue
4
Pages
615–620
Identifiers
PMID: 14603178
Source
Medline
License
Unknown

Abstract

Traumatic injuries of the liver and hepatic pedicle secondary to blunt abdominal trauma are unusual and often associated with injuries of other abdominal and/or thoracic organs. These lead the patient to an emergency operation for hemorrhagic shock. The diagnosis of trauma severity and hepatic pedicle involvement is made intraoperatively. Often only one anatomical structure of the hepatic pedicle is involved, whereas involvement of two or all three anatomical structures is rare and associated with a bad prognosis. The management of these injuries still remain one of the most challenging scenario in trauma surgery. The overall experience is not significant. Clear treatment guidelines or management algorithms have not yet been established, in part due to the complexity, severity and variability of these injuries and to the lack of large series with these rare events. Three cases of associated liver and hepatic pedicle injuries treated in our unit are reported.

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