Liver Trauma

Popovsky, Julio; Wiener, Stephen N.; Felder, Peter A.; Biramje, Aspi; Reydman, Melvin

doi:10.1001/archsurg.1974.01350260040008

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1975

1992

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Cited by 31 publications

(1 citation statement)

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“…Nonoperative management of some injuries has been suggested in selected instances. 10 An important differential diagnostic problem is to distinguish the clinical presentation of occult bile duct rupture from the entity of posttraumatic hepatic insuffi¬ ciency. In the latter syndrome, jaundice occurs following massive resuscitation for major trauma.…”

Section: Report Of a Casementioning

confidence: 99%

Intrahepatic Bile Duct Rupture Following Blunt Abdominal Trauma

Charters¹,

Bardin²

1978

Arch Surg

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Section: Report Of a Casementioning

confidence: 99%

Intrahepatic Bile Duct Rupture Following Blunt Abdominal Trauma

Charters¹,

Bardin²

1978

Arch Surg

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Non-operative management of blunt liver injuries

Hollands

Little

1991

Journal of British Surgery

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Over a 10-year period 281 patients with liver injuries following blunt abdominal trauma were seen at Westmead Hospital. A decision to treat the liver injury without an operation was made in 55 (20 per cent) of the 281 patients. Two of these 55 patients required a subsequent laparotomy, one for continued bleeding and one for a bile leak. No patient died from a missed intra-abdominal or retroperitoneal injury or from concealed haemorrhage. These patients were compared with 181 patients with liver injuries who were operated on. The two groups of patients could be distinguished in terms of their clinical status on arrival at the hospital, the magnitude of their injury and the sequelae of the injury. Non-operative management proved a safe alternative to an operation in appropriate patients, but a laparotomy to exclude unsuspected intra-abdominal injuries is associated with little significant morbidity and offers some reassurance in managing patients with multiple injuries.

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Decreasing morbidity after liver trauma

Drezner¹,

Foster²

1975

The American Journal of Surgery

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Liver Trauma

Cited by 31 publications

References 5 publications

Intrahepatic Bile Duct Rupture Following Blunt Abdominal Trauma

Intrahepatic Bile Duct Rupture Following Blunt Abdominal Trauma

Non-operative management of blunt liver injuries

Decreasing morbidity after liver trauma

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