Skip to main content
SpringerLink
Log in

Liver

  • Chapter
  • First Online:
Head, Thoracic, Abdominal, and Vascular Injuries

Part of the book series: European Manual of Medicine ((EUROMANUAL))

  • 2875 Accesses

Abstract

The liver is one of the most important organs to be considered in suspected abdominal trauma

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Schnüriger B, Inderbitzin D, Schäfer M, Kickuth R, Exadactylos A, Candinas D (2009) Concomitant injuries are an important determinant of outcome of high grade blunt hepatic trauma. British J Surgery 96:104–110

    Article  Google Scholar 

  2. Cox EF, Flancbaum L, Dauterive AH et al (1988) Blunt trauma to the liver. Analysis of management and mortality of 323 consecutive patients. Ann Surg 207:126

    Article  PubMed  CAS  Google Scholar 

  3. Fisher RP, Miller-Crotchett P, Reed RL II et al (1988) Gastrointestinal disruption: the hazard of non-operative management in adults with blubt abdominal injury. J Trauma 28:1445

    Article  Google Scholar 

  4. Lau IV, Horsch JD, Viano DC, Andrzejak DV (1987) Biomechanics of liver injury by steering wheel loading. J Trauma 27(3):225–235

    Article  PubMed  CAS  Google Scholar 

  5. McGarvey N, Indeck M (1991) Epidemiology of liver trauma. Trauma Q 7:22

    Google Scholar 

  6. Rulli F, Galata G, Maura A, Cadeddu F, Olivi G, Farinon AM (2008) Dynamics of liver trauma: tearing of segments III and IV at the level of the hepatic ligament. Chir Ital 60:659–669

    PubMed  Google Scholar 

  7. Richardson JD (2005) Changes in the management of injuries to the liver and spleen. J Am Coll Surg 200:648–669

    Article  PubMed  Google Scholar 

  8. Hurtuk M, Reed RL, Esposito TJ et al (2006) Trauma surgeons practice what they preach: the NTDB story on solid organ injury management. J Trauma 61:243–254

    Article  PubMed  Google Scholar 

  9. Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L (2002) Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 195:1–10

    Article  PubMed  Google Scholar 

  10. Tinkoff G, Esposito TJ, Reed J, Kilgo P, Fildes J, Pasquale M, Meredith JW (2008) American association for the surgery of trauma organ injury scale I: Spleen, liver, and kidney, validation based on the national trauma data bank. J Am Coll Surg 207:646–655

    Article  PubMed  Google Scholar 

  11. Vassiliu P, Toutouzas KG, Velmahos GC (2004) A prospective study of post-traumatic biliary and pancreatic fistuli. The role of expectant management. Injury 35:223–227

    Article  PubMed  Google Scholar 

  12. Hollands MJ, Little JM (1991) Post-traumatic bile fistulae. J Trauma 31:117–120

    Article  PubMed  CAS  Google Scholar 

  13. Boffard KD (ed) (2003) Manual of definitive surgical care. Arnold, London

    Google Scholar 

  14. ATLS manual (2008) 8th edn. ACS Committee on Trauma, Chicago

    Google Scholar 

  15. Bakker J, Genders R, Mali W, Leenen L (2005) Sonography as the primary screening method in evaluating blunt abdominal trauma. J Clin Ultrasound 33:155–163

    Article  PubMed  Google Scholar 

  16. Ballard RB, Rozycki GS, Newman PG, Cubillos JE, Salomone JP, Ingram WL, Feliciano DV (1999) An algorithm to reduce the incidence of false-negative FAST* examinations in patients at high risk for occult injury. J Am Coll Surg 189:145–151

    Article  PubMed  CAS  Google Scholar 

  17. Tang J, Wang Y, Mei X, An L, Li J, Lin Q (2007) The value of contrast-enhanced gray-scale ultrasound in the diagnosis of hepatic trauma: an animal experiment. J Trauma 62:1468–1472

    Article  PubMed  Google Scholar 

  18. Meredith JW, Trunkey DD (1988) CT scanning in acute abdominal injuries. Surg Clin North Am 68:255–268

    PubMed  CAS  Google Scholar 

  19. Federle MP, Jeffrey RB Jr (1983) Hemoperitoneum studied by computed tomography. Radiology 148:187–192

    PubMed  CAS  Google Scholar 

  20. Federle MP, Goldberg HI, Kaiser JA et al (1981) Evaluation of abdominal trauma by computed tomography. Radiology 138:637–644

    PubMed  CAS  Google Scholar 

  21. Toombs BD, Lester RC, Ben-Menachem Y et al (1981) Computed tomography in blunt trauma. Rad Clin North Am 19:17–35

    CAS  Google Scholar 

  22. Kelly MD, Armstrong CP, Longstaff A (2008) Characterization of biliary injury from blunt liver trauma by MRCP: case report. J Trauma 64:1363–1365

    Article  PubMed  Google Scholar 

  23. Kemmeter PR, Hoedema RE, Foote JA et al (2001) Concomitant blunt enteric injuries with injuries of the liver and spleen: a dilemma for trauma surgeons. Am Surg 267:221–226

    Google Scholar 

  24. Buckman RF, Piano G, Dunham CM et al (1988) Major bowel and diaphragmatic injuries associated with blunt spleen or liver rupture. J Trauma 28:1317–1321

    Article  PubMed  Google Scholar 

  25. Fischer RP, Miller-Crotchet P, Reed RL (1988) The hazards of nonoperative management of adults with blunt abdominal injury. J Trauma 28:1445–1449

    Article  PubMed  CAS  Google Scholar 

  26. Ackerman NB, Sillin LF, Suresh K (1985) Consequences of intraperitoneal bile: bile ascites versus bile peritonitis. Am J Surg 149:244–248

    Article  PubMed  CAS  Google Scholar 

  27. Pringle JH (1908) Notes on the arrest of hemorrhage due to trauma. Ann Surg 48:546–566

    Article  Google Scholar 

  28. Feliciano DV, Mattox KL, Jordan GL Jr (1981) Intra-abdominal packing for control of hepatic hemorrhage: a reappraisal. J Trauma 21:285–290

    Article  PubMed  CAS  Google Scholar 

  29. Cue JI, Cryer HG, Miller FB et al (1990) Packing and planned reexploration for hepatic and retroperitoneal hemorrhage critical refinements of a useful technique. J Trauma 30:1007–1014

    Article  PubMed  CAS  Google Scholar 

  30. Caruso DM, Battistella FD, Owings JT et al (1999) Perihepatic packing of major liver injuries. Arch Surg 134:958–963

    Article  PubMed  CAS  Google Scholar 

  31. Estourgie SH, Werken Chr, Leenen LPH (2002) The efficacy of gauze packing in liver trauma: an evaluation of the management and treatment of liver trauma. Eur J Trauma 28:190–195

    Article  Google Scholar 

  32. Morris JA, Eddy VA, Blinman TA et al (1993) The staged celiotomy for trauma: issues in unpacking and reconstruction. Ann Surg 217:576–586

    Article  PubMed  Google Scholar 

  33. Polanco P, Leon S, Pineda J, Puyana JC, Ochoa JB, Alarcon L, Harbrecht BG, Geller D, Peitzman AB (2008) Hepatic resection in the management of complex injury to the liver. J Trauma 65:1264–1270

    Article  PubMed  Google Scholar 

  34. Cogbill TH, Moore EE, Jurkovich GJ et al (1988) Severe hepatic trauma: a multi-institutional experience with liver injuries. J Trauma 28:1433–1438

    Article  PubMed  CAS  Google Scholar 

  35. Ciresi KF, Lim RC Jr (1990) Hepatic vein and retrohepatic vena cava injury World. J Surg 14:472–477

    CAS  Google Scholar 

  36. Evans S, Jackson RJ, Smith SD (1993) Successful repair of major retrohepatic vascular injuries without the use of shunt or sternotomy. J Pediatr Surg 28:317–320

    Article  PubMed  CAS  Google Scholar 

  37. Bethea MC (1977) A simplified approach to hepatic vein injuries. Surg Gynecol Obstet 145:78–80

    PubMed  CAS  Google Scholar 

  38. Carrillo EH, Spain DA, Miller F et al (1997) Intrahepatic vascular clamping in complex hepatic vein injuries. J Trauma 43:131–133

    Article  PubMed  CAS  Google Scholar 

  39. Pachter HL, Spencer FC, Hoffstetter SR (1986) The management of juxtahepatic venous injuries without an atriocaval shunt: preliminary clinical observations. Surgery 99:569–575

    PubMed  CAS  Google Scholar 

  40. Scalfani SJA, Shaftan GW, McAuley J et al (1984) Interventional radiology in the management of hepatic trauma. J Trauma 24:256–262

    Article  Google Scholar 

  41. Mohr AM, Lavery RF, Barone A et al (2003) Angiographic embolization for liver injuries: low mortality, high morbidity. J Trauma 55:1077–1082

    Article  PubMed  Google Scholar 

  42. Takayasu K, Moriyama N, Nuramajsu Y et al (1985) Gallbladder infarction after hepatic artery embolization. AJR 144:135–138

    PubMed  CAS  Google Scholar 

  43. Asensio JA, Demetriades D, Chahwan S, Gomez H, Hanpeter D, Velmahos G et al (2000) Approach to the management of complex hepatic injuries. J Trauma 48:66–69

    Article  PubMed  CAS  Google Scholar 

  44. Velmahos GC, Toutouzas K, Radin R, Chan L, Rhee P, Tillou A et al (2003) High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organ. Arch Surg 138:475–480

    Article  PubMed  Google Scholar 

  45. Kozar RA, Moore FA, Cothren CC, Moore EE, Sena M, Bulger EM et al (2006) Risk factors for hepatic morbidity following nonoperative management: multicenter study. Arch Surg 141:451–458

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University Medical Center, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands

    Luke P. H. Leenen

Authors
  1. Luke P. H. Leenen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Luke P. H. Leenen .

Editor information

Editors and Affiliations

  1. Klinik für Unfall- und, Wiederherstellungschirurgie, Allgemeines Krankenhaus Celle, Siemensplatz 4, Celle, 29223, Germany

    Hans-Jörg Oestern

  2. Forschungsabteilung Chirurgie, UniversitätsSpital Zürich, Rämistr. 100, Zürich, 8091, Switzerland

    Otmar Lorenz Trentz

  3. Medizinische Universität Graz, Auenbruggerplatz 15, Graz, 8036, Austria

    Selman Uranues

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Berlin Heidelberg

About this chapter

Cite this chapter

Leenen, L.P.H. (2011). Liver. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) Head, Thoracic, Abdominal, and Vascular Injuries. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88122-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-88122-3_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88121-6

  • Online ISBN: 978-3-540-88122-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation