Utility of radiographic hepatic injury grade in predicting outcome for children after blunt abdominal trauma

2002 ◽  
Vol 37 (3) ◽  
pp. 386-389 ◽  
Author(s):  
David J. Hackam ◽  
Douglas Potoka ◽  
Manuel Meza ◽  
Avrum Pollock ◽  
Mary Gardner ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Injury ◽  
Injury Grade ◽  
Predicting Outcome

scholarly journals Endoscopic Treatment of Postoperative External Biliary Fistula in a Patient Operated on for Hepatic Injury Due to Multiple Trauma

1996 ◽  
Vol 3 (1) ◽  
pp. 67-72
Author(s):  
Marco de Monti ◽  
Davide Sonnino ◽  
Marina Gorziglia ◽  
Giorgio Redaelll ◽  
Marcello Scarpis
Keyword(s):  
Young Patient ◽  
Multiple Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Endoscopic Treatment ◽  
Operative Technique ◽  
Hepatic Injury ◽  
Complete Healing ◽  
Biliary Fistula ◽  
Motorcycle Accident

After surgery for hepatic injury as a result of blunt abdominal trauma from a motorcycle accident, an external biliary fistula developed in a young patient. The authors describe the rapid and complete healing of the fistula by use of a nasobiliary catheter. These findings emphasize the importance of endoscopic operative technique for postoperative and traumatic external biliary fistulas.

Hepatic enzymes have a role in the diagnosis of hepatic injury after blunt abdominal trauma

Injury ◽  
2009 ◽  
Vol 40 (9) ◽  
pp. 978-983 ◽  
Author(s):  
Ker-Kan Tan ◽  
Shieh-Ling Bang ◽  
Appasamy Vijayan ◽  
Ming-Terk Chiu
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Injury ◽  
Hepatic Enzymes

Elevated Liver Transaminase Levels in Children With Blunt Abdominal Trauma: A Predictor of Liver Injury

PEDIATRICS ◽  
1990 ◽  
Vol 86 (1) ◽  
pp. 87-90
Author(s):  
Halim M. Hennes ◽  
Douglas S. Smith ◽  
Kathleen Schneider ◽  
Mary A. Hegenbarth ◽  
Michael A. Duma ◽  
...  
Keyword(s):  
Liver Injury ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Injury ◽  
Elevated Serum ◽  
Serum Transaminase ◽  
Abdominal Ct ◽  
Elevated Serum Transaminase ◽  
Abdominal Ct Scan

The medical records of 43 hemodynamically stable children with elevated serum transaminase levels (aspartate aminotransferase [AST] and alanine aminotransferase [ALT]) who underwent abdominal computed tomographic (CT) scan for blunt abdominal trauma were reviewed. Nineteen patients (44.2%) had AST levels >450 IU/L and ALT levels >250 IU/L, and 17 of these 19 patients had hepatic injury identified on abdominal CT scan. Of the 43 patients, 25 (58.1%) had AST and ALT levels of less than 450 IU/L and 250 IU/L, respectively, and none of these patients had evidence of hepatic injury on CT scan. Elevated serum transaminase levels (AST >450 IU/L and ALT >250 IU/L) identified all of the patients with hepatic injury visible on abdominal CT scan. The sensitivity and specificity of elevated serum transaminase levels were 100% and 92.3%, respectively, for predicting hepatic injury. It is recommended that hemodynamically stable pediatric patients with blunt abdominal trauma and AST levels >450 IU/L and/or ALT levels >250 IU/L undergo abdominal CT scan to determine the presence and extent of hepatic injury. Children with serum transaminase levels below these values are at decreased risk of liver injury.

scholarly journals Presentation and Management of Hepatic Injury due to Blunt Trauma in Patients Attending in Casualty Block of DMCH - A Study of 50 Cases

2018 ◽  
Vol 27 (1) ◽  
pp. 57-61
Author(s):  
Mohammad Mahfuzur Rahman Chowdhury ◽  
SM Amjad Hossain ◽  
Salma Sultana ◽  
Rifat Zaman ◽  
Md Alauddin ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traffic Accidents ◽  
Hepatic Injury ◽  
Road Traffic ◽  
Operative Management ◽  
College Hospital ◽  
Medical College ◽  
History Of ◽  
Non Operative Management

Objective: To diagnose the cases of hepatic injury due to blunt abdominal trauma in a shortest possible time and find out the way of efficient and planned management of hepatic injury in our present setting. Materials and methods: This study was done in the casualty department of Dhaka Medical College Hospital and 50 patients of hepatic injury following blunt abdominal trauma were selected over a period of January 2010 to December 2010. All 50 patients were admitted within 24 hours of incidence. The patients were diagnosed clinically by history and physical examination and relevant investigations. Immediately after admission patients were resuscitated by clearance of airway, maintenance of respiration, arrest of external bleeding and maintenance of normal circulation (ATLS Protocol). After resuscitation further management was planned depending upon the condition of the patient. Clinical presentation, overall management and outcome were evaluated by the available resources of casualty ward of DMCH. Results: Most patients were male (88%) and 68% of patients were belonged to age group of 21 to 40 years. Most of the patients (90%) were injured as a result of road traffic accidents. All patients had a history of trauma and most of them presented with abdominal pain, tenderness muscular rigidity of abdomen and shock (38%). Only 13 (26%) patients had isolated hepatic injury. Rest of the patients had associated other organ injuries. Majority patients (46%) had Grade-I hepatic injury. Out of 50 patients, 46 were operated and most of them had other intra abdominal organ injuries and 4 patients were given non-operative management. Suture hepatorrhaphy was done in 38 (76%) cases. Most common post operative complications were pulmonary in origin (24%) and three patients were died in this series. Conclusion: Simple technique of hemostasis such as suture hepatorrhaphy is sufficient in most cases with adequate drainage and non operative management can be tried based on haemodynamic stability. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 57-61

scholarly journals Management modalities of isolated liver injury in blunt abdominal trauma

2019 ◽  
Vol 7 (1) ◽  
pp. 58
Author(s):  
Lalji Mangukiya ◽  
Hardik Astik
Keyword(s):  
Liver Injury ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic ◽  
Demographic Data ◽  
Standard Of Care ◽  
Operative Management ◽  
Treatment Morbidity ◽  
Injury Grade ◽  
Isolated Liver

Background: The liver is one of the most commonly injured organ in blunt abdominal trauma. Management of liver injury due to blunt abdominal trauma has been dramatically evolved in recent years. Dramatic change from operative management to non-operative management has improved survival in these patients, becoming the standard of care for most liver injuries.Methods: A retrospective study of the patients admitted with the diagnosis of isolated liver injury due to blunt abdominal trauma between 2013-2018. Data collected of 30 patients of isolated liver injury who either treated conservative management of operative management. Variable analyzed included demographic data, mechanism of injury, associated injury, conservative treatment, operative treatment, morbidity, mortality, and hospital stay.Results: A total of 30 patients were analyzed of isolated liver injury due to blunt abdominal trauma, 27 patient sustained minor liver injury (grade I, II and III), whereas 3 patients had major liver injury (grade IV, V and VI). 25 cases due to road traffic accident and 5 cases were due to falls from a height. 27 patients with American Association for the surgery of trauma grade I, II, III and 2 patients with grade IV, V managed conservatively, surgical intervention required in 1 patient with grade V, mortality occurred in 1 patient out of 29 who were treated conservatively.Conclusions: Isolated liver injury is common in the blunt abdominal trauma patient. Most of the patients with the liver injury with hemodynamically stable treated conservatively. Only a few of them require surgical management if they are hemodynamically unstable.

scholarly journals Presentation and Management of Hepatic Injury due to Blunt Trauma in Patients Attending in Casualty Block of dmch- a Study of 50 cases

2017 ◽  
Vol 25 (2) ◽  
pp. 133-137
Author(s):  
Mohammad Mahfuzur Rahman Chowdhury ◽  
SM Amjad Hossain ◽  
Salma Sultana ◽  
Rifat Zaman ◽  
Md Alauddin ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traffic Accidents ◽  
Hepatic Injury ◽  
Road Traffic ◽  
Operative Management ◽  
College Hospital ◽  
Medical College ◽  
History Of ◽  
Non Operative Management

Objective: To diagnose the cases of hepatic injury due to blunt abdominal trauma in a shortest possible time and find out the way of efficient and planned management of hepatic injury in our present setting.Materials and methods: This study was done in the casualty department of Dhaka Medical College Hospital and 50 patients of hepatic injury following blunt abdominal trauma were selected over a period of January 2010 to December 2010. All 50 patients were admitted within 24 hours of incidence. The patients were diagnosed clinically by history and physical examination and relevant investigations. Immediately after admission patients were resuscitated by clearance of airway, maintenance of respiration, arrest of external bleeding and maintenance of normal circulation (ATLS Protocol). After resuscitation further management was planned depending upon the condition of the patient. Clinical presentation, overall management and outcome were evaluated by the available resources of casualty ward of DMCH.Results: Most patients were male (88%) and 68% of patients were belonged to age group of 21 to 40 years. Most of the patients (90%) were injured as a result of road traffic accidents. All patients had a history of trauma and most of them presented with abdominal pain, tenderness muscular rigidity of abdomen and shock (38%). Only 13 (26%) patients had isolated hepatic injury. Rest of the patients had associated other organ injuries. Majority patients (46%) had Grade-I hepatic injury. Out of 50 patients, 46 were operated and most of them had other intra abdominal organ injuries and 4 patients were given non-operative management. Suture hepatorrhaphy was done in 38 (76%) cases. Most common post operative complications were pulmonary in origin (24%) and three patients were died in this series.Conclusion: Simple technique of hemostasis such as suture hepatorrhaphy is sufficient in most cases with adequate drainage and non operative management can be tried based on haemodynamic stability.J Dhaka Medical College, Vol. 25, No.2, October, 2016, Page 133-137

BLUNT ABDOMINAL TRAUMA WITH HAEMOPERITONEUM TREATED BY EXPLORATORY LAPAROTOMY VERSUS ONLY ABDOMINAL DRAINAGE: A PROSPECTIVE AND COMPARATIVE STUDY.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Dhawal Panchal ◽  
Firdaus Dekhaiya ◽  
Harin Tailor
Keyword(s):  
Hospital Stay ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Exploratory Laparotomy ◽  
Blunt Injury ◽  
Abdominal Drainage ◽  
Duration Of Hospital Stay ◽  
Considerable Morbidity ◽  
Injured Patients

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied  which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords:  Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

Analysis of the association between periportal low attenuation, as seen on CT, after blunt abdominal trauma,and elevated central venous pressure1

1999 ◽  
Vol 40 (1) ◽  
pp. 83
Author(s):  
Jae Hung Lee ◽  
Hyeon Kyeong Lee ◽  
Chae Kyeong Lee ◽  
Kwan Min Ku ◽  
Ji Young Yoon ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Central Venous
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