Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma
Joint Authors
Ajaj, Ahmad
Abdelrahman, Husham
El-Menyar, Ayman
al-Thani, Hassan A.
Attique, Sajid
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Management of liver injury is challenging particularly for the advanced grades.
Increased utility of nonoperative management strategies increases the risk of developing massive liver necrosis (MLN).
We reported a case of a 19-year-old male who presented with a history of motor vehicle crash.
Abdominal computerized tomography (CT) scan revealed large liver laceration (Grade 4) with blush and moderate free hemoperitoneum in 3 quadrants.
Patient was managed nonoperatively by angioembolization.
Two anomalies in hepatic arteries origin were reported and both vessels were selectively cannulated and bilateral gel foam embolization was achieved successfully.
The patient developed MLN which was successfully treated conservatively.
The follow-up CT showed progressive resolution of necrotic areas with fluid replacement and showed remarkable regeneration of liver tissues.
We assume that patients with high-grade liver injuries could be managed successfully with a carefully designed protocol.
Special attention should be given to the potential major associated complications.
A tailored multidisciplinary approach to manage the subsequent complications would represent the best recommended strategy for favorable outcomes.
American Psychological Association (APA)
Abdelrahman, Husham& Ajaj, Ahmad& Attique, Sajid& El-Menyar, Ayman& al-Thani, Hassan A.. 2013. Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma. Case Reports in Surgery،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-511118
Modern Language Association (MLA)
Abdelrahman, Husham…[et al.]. Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma. Case Reports in Surgery No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-511118
American Medical Association (AMA)
Abdelrahman, Husham& Ajaj, Ahmad& Attique, Sajid& El-Menyar, Ayman& al-Thani, Hassan A.. Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma. Case Reports in Surgery. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-511118
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-511118