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.
KeywordsHepatic trauma Hemodynamic status Free fluid
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