Complications of high grade liver injuries: management and outcome with focus on bile leaks
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 03/26/2012
Bala M et al. – A high complication rate following high–grade liver injuries should be anticipated. In patients with clinical evidence of biliary complications, CT scan is a useful diagnostic and therapeutic tool. AE, ERCP and temporary internal stenting, together with percutaneous drainage of intra–abdominal or intrahepatic bile collections, represents a safe and effective strategy for the management of complications following both blunt and penetrating hepatic trauma.
This is a retrospective study of patients with liver injury admitted to Hadassah-Hebrew University Medical Centre over a 10-year period.
Grade 3-5 injuries were considered to be high grade.
Collected data included the number and types of liver-related complications.
Interventions which were required for these complications in patients who survived longer than 24 hours were analysed.
Of 398 patients with liver trauma, 64 (16%) were found to have high-grade liver injuries.
Mechanism of injury was blunt trauma in 43 cases, and penetrating in 21.
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