[Liver injury in abdominal trauma. Review of the literature and personal observations].
In patients who suffered abdominal trauma, the liver is the most frequently involved organ, except the spleen. The % rises from 1520% to 30% if trauma is closed or open. Liver injury may spread from a simple parenchymal contusion to a break in vessels or biliary ducts. Life risk is related to hemorrhage. The mortality is due to: 1) extension of the injured liver surface, 2) possible damage to big vessels, 3) intra or extra abdominal associated injury in case of multiple trauma. It is important to known the kind of injury to choose the best therapy, not necessary surgical. The authors report on 15 patients with thoracoabdominal trauma and liver damage, comparing their cases with literature observations.
Morelli
M
M
II Divisione di Chirurgia, Ospedale Civile di Asti.
Rossi
R
R
Ruscalla
L
L
Clemente
A
A
Farinella
M
M
Lamarca
S
S
D000007:Abdominal Injuries / Q000150:complications / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D008875:Middle Aged
Danno epatico nei traumi addominali. Revisione della letteratura e casistica personale.