Juxtahepatic Venous Injuries

  • L. D. BrittEmail author


Blunt trauma contributes over 75 % of mechanisms of injuries for most of the trauma centers in the United States. The liver, the largest solid organ in the body, is one of the most frequently injured abdominal organs by either blunt or penetrating mechanisms. Fortunately, the majority of hepatic injuries are not severe and require no surgical repair. These are low-grade injuries. Suspicion of liver injury is predicated on several factors: clinical suspicion derived from the mechanics of the crash and the hemodynamic state of the patient in the field and upon arrival at the hospital, along with findings obtained during abdominal examination obtained in the hospital.


Portal Vein Hepatic Vein Bile Duct Injury Porta Hepatis Major Hepatic Vein 
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Supplementary material

Video 3

Right hepatic lobe rotation (3-D animation) (MP4 33079 kb)

Video 4

Left hepatic lobe rotation (MP4 53192 kb)

Video 5

Left hepatic lobe rotation (3-D animation) (MP4 30377 kb)

Video 6

Pringle maneuver (MP4 14015 kb)

Video 7

Liver suture (MP4 39685 kb)

Video 9

Hepatic vascular exclusion (MP4 22289 kb)

Video 15

Case 02 A 30-year-old man was a victim of 3 gunshot wounds: he was hemodynamically stable (MP4 94193 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryEastern Virginia Medical SchoolNorfolkUSA

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