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Journal of Trauma and Injury 2014;27(3):84-88.
Extensive Blunt Hepatic Injury due to Cross-over Traffic Accident: A Case Report of Conservative Management
In Seok Jang, Sung Hwan Kim, Jung Eun Lee, Jong Woo Kim, Jun Young Choi, Il Woo Shin, Hyun Ok Kim
1Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Jinju, Korea. isjang@gnu.ac.kr
2Department of Anesthesiology, Institute of Health Science, Gyeongsang National University, Jinju, Korea.
3Internal Medicine, Health Science Institutes, Gyeongsang National University, Jinju, Korea.
전단교통사고에 의한 광범위 간장손상 - 보존치료 1례
장인석, 김성환, 이정은, 김종우, 최준영, 신일우1, 김현옥2
경상대학교 의학전문대학원 흉부외과학교실, 경상대학교 건강과학대학원, 1마취과학교실, 2내과학교실
Received: 10 April 2014   • Revised: 10 June 2014
Abstract
The severity of blunt hepatic injury correlates with internal organ damage. We experienced a patient, who had an extensive crushed liver injury. The patient was a 28-year-old man, who was involved in a traffic accident in which a wheel ran over his right upper abdomen. A grade V severe hepatic laceration was diagnosed with computed tomography. His vital signs were stable, so we could wait for times with conservative management. Bile leakage led to biloma and bile spillage into the peritoneal space. Selective percutaneous drainage was needed to control the several biloma. After four months of conservative management, could the patient was discharged in good condition.
Key Words: Trauma; Liver laceration; Hepatic injury; Traffic accident; Cross over injury
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