Liver injury

Differential Diagnosis

Abdominal Trauma

• Abdominal compartment syndrome
• Diaphragmatic trauma
• Duodenal hematoma
• Genitourinary trauma
• Liver trauma
• Pelvic fractures
  • Acetabular pelvic fractures
  • Open book pelvic fracture
  • Straddle pelvic fracture
  • Pelvic avulsion fracture
• Retroperitoneal hemorrhage
• Renal trauma
• Splenic trauma
• Trauma in pregnancy
• Ureter trauma

Management

• Nonoperative management is successful in >90% of pts who are hemodynamically stable
• Low-grade injuries (grades I–III) can almost always be managed without surgery
  • Higher-grade injuries commonly fail nonoperative therapy.
• Consider angiographic embolization if:
  • Large amount of hemoperitoneum
  • Vascular injury (contrast blush) on CT

See Also

• Abdominal Trauma
• Trauma in Pregnancy

Sources

Tintinalli's