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Liver and Bile Duct Trauma

  • Ana Gabriela Clemente
  • Silvania Klug Pimentel
  • Mariana F. Jucá Moscardi
  • Jonathan Meizoso
  • Rishi Rattan
Chapter

Abstract

Management of blunt hepatic trauma has evolved significantly over the last 20 years, with nonoperative management being the primary strategy in over 80% of cases. In all cases, management strategy is dictated by the patient’s physical examination, hemodynamic status, and diagnostic imaging results. Hemodynamically unstable patients and/or those with evidence of intra-abdominal free fluid require laparotomy. Stable patients can be deferred to CT scan for further imaging workup, with the majority only requiring ICU admission and nonoperative management.

Keywords

Hepatic trauma Hemodynamic status Free fluid 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ana Gabriela Clemente
    • 1
  • Silvania Klug Pimentel
    • 2
  • Mariana F. Jucá Moscardi
    • 3
  • Jonathan Meizoso
    • 4
    • 5
  • Rishi Rattan
    • 6
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Telemedicine and Trauma Research, University of Miami, Ryder Trauma CenterMiamiUSA
  4. 4.Ryder Trauma Center – Jackson Health SystemMiamiUSA
  5. 5.Miller School of Medicine, University of MiamiMiamiUSA
  6. 6.Division of Trauma Surgery & Critical Care, DeWitt Daughtry Family Department of Surgery, Miller School of Medicine, University of MiamiMiamiUSA

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