Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma
Management of liver injury is challenging particularly for the advanced grades. Increased utility of nonoperative management strategies increases the risk of developing massive liver necrosis (MLN). We reported a case of a 19-year-old male who presented with a history of motor vehicle crash. Abdomin...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/954050 |
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| author | Husham Abdelrahman Ahmad Ajaj Sajid Atique Ayman El-Menyar Hassan Al-Thani |
| author_facet | Husham Abdelrahman Ahmad Ajaj Sajid Atique Ayman El-Menyar Hassan Al-Thani |
| author_sort | Husham Abdelrahman |
| collection | DOAJ |
| description | Management of liver injury is challenging particularly for the advanced grades. Increased utility of nonoperative management strategies increases the risk of developing massive liver necrosis (MLN). We reported a case of a 19-year-old male who presented with a history of motor vehicle crash. Abdominal computerized tomography (CT) scan revealed large liver laceration (Grade 4) with blush and moderate free hemoperitoneum in 3 quadrants. Patient was managed nonoperatively by angioembolization. Two anomalies in hepatic arteries origin were reported and both vessels were selectively cannulated and bilateral gel foam embolization was achieved successfully. The patient developed MLN which was successfully treated conservatively. The follow-up CT showed progressive resolution of necrotic areas with fluid replacement and showed remarkable regeneration of liver tissues. We assume that patients with high-grade liver injuries could be managed successfully with a carefully designed protocol. Special attention should be given to the potential major associated complications. A tailored multidisciplinary approach to manage the subsequent complications would represent the best recommended strategy for favorable outcomes. |
| format | Article |
| id | doaj-art-f9fce51885e24aecb1728393369c1248 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-f9fce51885e24aecb1728393369c12482025-02-03T01:24:15ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/954050954050Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt TraumaHusham Abdelrahman0Ahmad Ajaj1Sajid Atique2Ayman El-Menyar3Hassan Al-Thani4Trauma Surgery Section, Hamad General Hospital, HMC, P.O. Box 3050, Doha, QatarTrauma Surgery Section, Hamad General Hospital, HMC, P.O. Box 3050, Doha, QatarTrauma Surgery Section, Hamad General Hospital, HMC, P.O. Box 3050, Doha, QatarClinical Research, Trauma Surgery Section, Hamad General Hospital, Doha, QatarTrauma Surgery Section, Hamad General Hospital, HMC, P.O. Box 3050, Doha, QatarManagement of liver injury is challenging particularly for the advanced grades. Increased utility of nonoperative management strategies increases the risk of developing massive liver necrosis (MLN). We reported a case of a 19-year-old male who presented with a history of motor vehicle crash. Abdominal computerized tomography (CT) scan revealed large liver laceration (Grade 4) with blush and moderate free hemoperitoneum in 3 quadrants. Patient was managed nonoperatively by angioembolization. Two anomalies in hepatic arteries origin were reported and both vessels were selectively cannulated and bilateral gel foam embolization was achieved successfully. The patient developed MLN which was successfully treated conservatively. The follow-up CT showed progressive resolution of necrotic areas with fluid replacement and showed remarkable regeneration of liver tissues. We assume that patients with high-grade liver injuries could be managed successfully with a carefully designed protocol. Special attention should be given to the potential major associated complications. A tailored multidisciplinary approach to manage the subsequent complications would represent the best recommended strategy for favorable outcomes.http://dx.doi.org/10.1155/2013/954050 |
| spellingShingle | Husham Abdelrahman Ahmad Ajaj Sajid Atique Ayman El-Menyar Hassan Al-Thani Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma Case Reports in Surgery |
| title | Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma |
| title_full | Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma |
| title_fullStr | Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma |
| title_full_unstemmed | Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma |
| title_short | Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma |
| title_sort | conservative management of major liver necrosis after angioembolization in a patient with blunt trauma |
| url | http://dx.doi.org/10.1155/2013/954050 |
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