Liver injury

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Background

Clinical Features

Differential Diagnosis

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


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