title: [Conservative treatment of severe liver trauma: report of a case and review of therapeutic methods].
abstract: The emergency surgical treatment of severe hepatic traumas still carries a high mortality risk. We report a case of severe blunt trauma to the liver managed without surgery under CT guidance. This attitude requires haemodynamic stability of the patient, close monitoring in a surgical intensive care unit and repeated CT scans. Laparoscopy was used to the management of hemoperitoneum due to rupture of hematoma and diagnosis and treatment of bile leakage. Conservative treatment is a reasonable option in selected hemodynamically stable patient with severe hepatic trauma.
authors.affiliation: Disciplina de Cirurgia, Trauma do Hóspital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
authors.forename: L F
authors.initials: LF
authors.lastname: Zantut
authors.forename: M A
authors.initials: MA
authors.lastname: Machado
authors.forename: P
authors.initials: P
authors.lastname: Volpe
authors.forename: M J
authors.initials: MJ
authors.lastname: de Lima
authors.forename: R S
authors.initials: RS
authors.lastname: Poggetti
authors.forename: D
authors.initials: D
authors.lastname: Birolini
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D010535:Laparoscopy; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*
vernacular_title: Tratamento conservador de trauma hepático grave: relato de caso e revisão de métodos terapêuticos.