Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons
Introduction. Blunt liver trauma is predominantly managed non-surgically, yet the optimal treatment and timing for addressing its late complications remain uncertain. This study aims to evaluate treatment approaches and outcomes for blunt liver trauma with concomitant abdominal visceral injuries. Ca...
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Serbian Medical Society
2025-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
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| Online Access: | https://doiserbia.nb.rs/img/doi/0370-8179/2025/0370-81792500033D.pdf |
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| author | Dong Yi Guo Yuyang Jiang Yuxing Liu Wenfei Fang Yong |
| author_facet | Dong Yi Guo Yuyang Jiang Yuxing Liu Wenfei Fang Yong |
| author_sort | Dong Yi |
| collection | DOAJ |
| description | Introduction. Blunt liver trauma is predominantly managed non-surgically, yet the optimal treatment and timing for addressing its late complications remain uncertain. This study aims to evaluate treatment approaches and outcomes for blunt liver trauma with concomitant abdominal visceral injuries. Case Outline. We present two cases of adult males who sustained severe liver and other organ injuries due to road traffic accidents. Both patients underwent comprehensive treatment, including urgent laparotomy. The first case resulted in severe complications and eventual mortality, while the second case had a favorable outcome with conservative management of the liver hematoma. Conclusion. Retaining blood clots around the liver wound during surgical intervention may enhance hemostasis and reduce infection risks. Further controlled studies with larger samples are necessary to validate these findings. |
| format | Article |
| id | doaj-art-fa165836a89f42d28540e054e69cd9f3 |
| institution | DOAJ |
| issn | 0370-8179 2406-0895 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj-art-fa165836a89f42d28540e054e69cd9f32025-08-20T03:09:25ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952025-01-011535-628328610.2298/SARH241210033D0370-81792500033DBlunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeonsDong Yi0Guo Yuyang1Jiang Yuxing2Liu Wenfei3Fang Yong4The People's Liberation Army No. 305 Hospital, Department of General Surgery, Beijing, ChinaThe People's Liberation Army No. 305 Hospital, Department of General Surgery, Beijing, ChinaThe People's Liberation Army No. 305 Hospital, Department of General Surgery, Beijing, ChinaThe People's Liberation Army No. 305 Hospital, Department of General Surgery, Beijing, ChinaThe People's Liberation Army No. 305 Hospital, Department of General Surgery, Beijing, ChinaIntroduction. Blunt liver trauma is predominantly managed non-surgically, yet the optimal treatment and timing for addressing its late complications remain uncertain. This study aims to evaluate treatment approaches and outcomes for blunt liver trauma with concomitant abdominal visceral injuries. Case Outline. We present two cases of adult males who sustained severe liver and other organ injuries due to road traffic accidents. Both patients underwent comprehensive treatment, including urgent laparotomy. The first case resulted in severe complications and eventual mortality, while the second case had a favorable outcome with conservative management of the liver hematoma. Conclusion. Retaining blood clots around the liver wound during surgical intervention may enhance hemostasis and reduce infection risks. Further controlled studies with larger samples are necessary to validate these findings.https://doiserbia.nb.rs/img/doi/0370-8179/2025/0370-81792500033D.pdfblunt liver traumaconcomitant injuryoperative interventionnon-operative managementurgent laparotomy |
| spellingShingle | Dong Yi Guo Yuyang Jiang Yuxing Liu Wenfei Fang Yong Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons Srpski Arhiv za Celokupno Lekarstvo blunt liver trauma concomitant injury operative intervention non-operative management urgent laparotomy |
| title | Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons |
| title_full | Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons |
| title_fullStr | Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons |
| title_full_unstemmed | Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons |
| title_short | Blunt liver trauma with concomitant injuries to the abdominal viscus: A dilemma for trauma surgeons |
| title_sort | blunt liver trauma with concomitant injuries to the abdominal viscus a dilemma for trauma surgeons |
| topic | blunt liver trauma concomitant injury operative intervention non-operative management urgent laparotomy |
| url | https://doiserbia.nb.rs/img/doi/0370-8179/2025/0370-81792500033D.pdf |
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