Abstract
In an eighteen-year-old boy with a high fever, an intrahepatic infectious hematoma following blunt hepatic trauma was treated twice with intrahepatic arterial injection chemotherapy in an attempt to prevent conversion of the hematoma to an abscess. A decrease in body temperature occurred after the arterial injections, and the hematoma was gradually diminished in size. In selected patients with blunt hepatic trauma, intrahepatic arterial injection chemotherapy seems to be an effective treatment for prevention of liver abscess formation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Toombs BD, Sandler CM, Rauschkolb EN, Strax R, Harle TS. Assessment of hepatic injuries with computed tomography. J. Comput Assist Tomogr 1982; 6: 72–75.
Cheatham JE, Smith EI, Tunell WP, Elkins PC. Nonoperative management of subcapsular hematomas of the liver. Am J Surg 1980; 140: 852–857.
Richie JP, Fonkalsrud EW. Subcapsular hematoma of the liver: nonoperative management. Arch Surg 1972; 104: 781–784.
Rubin RH, Swarts MN, Malt R. Hepatic abscess: changes in clinical, bacteriologic and therapeutic aspects. Am J Med 1974; 57: 601–610.
Eng RHK, Tumang FT, Corrado ML. Blunt trauma and liver abscess. Am J Gastroenterol 1981; 76: 252–255.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakakuma, K., Ogata, K., Ootsuka, K. et al. Hepatic hematoma after blunt trauma —a case of nonoperative management to prevent liver abscess formation—. The Japanese Journal of Surgery 14, 327–330 (1984). https://doi.org/10.1007/BF02469650
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469650