+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Complete dissection of a hepatic segment after blunt abdominal injury successfully treated by anatomical hepatic lobectomy: report of a case



Complete dissection of a hepatic segment after blunt abdominal injury successfully treated by anatomical hepatic lobectomy: report of a case



Case Reports in Gastroenterology 5(1): 125-131



A 21-year-old male patient was transferred to the emergency room of our hospital after suffering seat belt abdominal injury in a traffic accident. Abdominal computed tomography revealed a massive hematoma in the abdominal cavity associated with deep hepatic lacerations in the right lobe. The presence of a solid tissue possibly containing pneumobilia was observed above the greater omentum. These findings were consistent with a tentative diagnosis of hepatic laceration due to blunt trauma; therefore, this prompted us to perform emergency laparotomy. The operative findings revealed a massive hematoma and pulsatile bleeding from the lacerated liver and a retroperitoneal hepatoma, which was most likely due to subcapsular injury of the right kidney. In accordance with the preoperative imaging studies, a pale liver fragment on the greater omentum was observed, which was morphologically consistent with the defect in the posterior segment of the liver. Since the damaged area of the liver broadly followed the course of the middle hepatic vein, we carefully inspected and isolated the inflow vessels and eventually performed a right hepatic lobectomy. The patient's postoperative course was uneventful, and he was doing well at 10 months after surgery.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052257650

Download citation: RISBibTeXText

PMID: 21512618

DOI: 10.1159/000326929


Related references

Hepatocellular carcinoma associated with precirrhotic primary biliary cirrhosis successfully treated by a right hepatic lobectomy: Report of a case. Surgery Today 26(9): 723-726, 1996

Spontaneous rupture of a liver cell adenoma after long term methyltestosterone: report of a case successfully treated by emergency right hepatic lobectomy. British Journal of Surgery 66(3): 212-213, 1979

Celiac dissection after blunt abdominal trauma complicated by acute hepatic failure: case report and review of literature. Journal of Vascular Surgery 46(3): 576-580, 2007

Isolated right hepatic duct injury following blunt abdominal trauma: case report. Tropical Gastroenterology 22(1): 49-50, 2001

Massive bleeding from a ruptured metastatic hepatic melanoma treated by hepatic lobectomy. Case report and review of the literature. Mayo Clinic Proceedings 51(3): 167-170, 1976

Hepatic duct confluence injury in blunt abdominal trauma: case report and synopsis on management. Surgical Laparoscopy Endoscopy and Percutaneous Techniques 13(5): 350-352, 2003

Right hepatic lobectomy for recurrent cholangitis after bile duct and hepatic artery injury during laparoscopic cholecystectomy: report of a case. Hepato-Gastroenterology 46(28): 2296-2298, 1999

Intra-Hepatic Cystadenoma of Bile Duct Origin, with Malignant Alteration. Report of a Case, Treated with Total Left Hepatic Lobectomy. Military Medicine 130: 218-224, 1965

Massive blunt injury to the liver--right hepatic lobectomy in a case of bilobar involvement. Journal of the Irish Medical Association 64(411): 249-250, 1971

Prolonged recovery after extended right hepatic lobectomy in a patient with severe blunt liver injury and laceration of the vena cava. A report of case with special references to autotransfusion and complications of biliary decompression. Acta Chirurgica Scandinavica 142(7): 545-549, 1976

Extra- and intra-hepatic metastasis successfully treated with alternative chemotherapy with hepatic arterial infusion and systemic intravenous infusion after responding to hepatic metastasis from colon cancer by hepatic arterial infusion--a case report. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 34(12): 1976-1978, 2007

Early profound jaundice following blunt hepatic trauma: resolution after lobectomy--case report. Journal of Trauma 36(4): 576-579, 1994

Acute hepatic failure with deep hepatic coma treated successfully by high-flow continuous hemodiafiltration and living-donor liver transplantation: a case report. Transplantation Proceedings 35(1): 394-396, 2003

Hepatic enzymes have a role in the diagnosis of hepatic injury after blunt abdominal trauma. Injury 40(9): 978-983, 2009

A rare case of hepatic duct injury from blunt abdominal trauma. American Journal of Case Reports 14: 106-108, 2013