Injury to the liver is one of the leading causes of death from abdominal trauma and is responsible for 5% of all trauma admissions . The liver’s relatively large size, fixed attachment points to the surrounding tissues, and friable parenchyma make it an easily injured organ in deceleration events such as motor vehicle accidents . Because the liver occupies most of the right upper quadrant, it can be easily injured in direct blunt-force trauma or penetrating injury. The right lobe is more commonly injured because it represents most of the hepatic parenchyma, and because of its close proximity to the surrounding ribs and spine. Left hepatic lobe injuries are less common and are more likely the result of a direct blow to that region. The approximate ratio of blunt force to penetrating hepatic trauma is 3.5:1 .
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