Diferencia entre revisiones de «Liver injury»
m (Rossdonaldson1 moved page Liver Injury to Liver trauma) |
(info on how often it occurs) |
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==Background== | ==Background== | ||
*Occurs in 5% of all traumas | |||
**Most common abdominal injury | |||
==Clinical Features== | ==Clinical Features== | ||
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==Sources== | ==Sources== | ||
Tintinalli's | Tintinalli's | ||
Rosen's | |||
<references/> | <references/> | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revisión del 15:21 19 jul 2015
Background
- Occurs in 5% of all traumas
- Most common abdominal injury
Clinical Features
Differential Diagnosis
Abdominal Trauma
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter trauma
Workup
Management
- Nonoperative management is successful in >90% of pts who are hemodynamically stable
- Low-grade injuries (grades I–III) can almost always be managed without surgery
- Higher-grade injuries commonly fail nonoperative therapy.
- Consider angiographic embolization if:
- Large amount of hemoperitoneum
- Vascular injury (contrast blush) on CT
Disposition
See Also
Sources
Tintinalli's Rosen's