THE CONSERVATIVE TREATMENT OF THE HEPATIC TRAUMA OF THE POLYTRAUMATIZED PATIENT
Abstract:
Introduction: The liver is the second important abdominal viscera regarding its frequency in abdominal trauma but at the same time, it represents the main cause of death determined by this kind of lesion. We present the case of a 51 year-old patient, victim of a car accident, for whom the abdominal computed tomography (CT) shows hepatic contusion and hydropneumoperitoneum. Results: During the surgical intervention, we discovered an intrahepatic hematoma, cecum depolisation with complete lining, mesenteric rupture at approximately 150 cm from the Treitz angle, with complete ansa. We decided for a conservative approach regarding the intrahepatic hematoma, practicing enterorrhaphy, mesenteriorrhaphy, cecorrhaphy, epiploon segmentectomy and multiple abdominal drainage. Conclusions: The nonoperational management of the hemodynamically stable patients with hepatic trauma is becoming a standard conduct in trauma services.
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