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Digestive Disease Interventions 2018; 02(02): 159-171
DOI: 10.1055/s-0038-1656530
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Hepatic Trauma: An Update

Min Lang
1   School of Medicine, Case Western Reserve University, Cleveland, Ohio
,
Isaac J. Dahan
2   Department of Radiology Vascular and Interventional, MetroHealth Medical Center, Cleveland, Ohio
,
Vanessa P. Ho
3   Division of Trauma, Critical Care, Burns and Emergency General Surgery, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio
,
Baljendra S. Kapoor
4   Department of Vascular and Interventional Radiology, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
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Publication History

03 April 2018

04 April 2018

Publication Date:
05 June 2018 (online)

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Abstract

Being the largest solid abdominal organ, the liver is the second most commonly injured organ after abdominal trauma. In this review, we discuss the American Association for the Surgery of Trauma's (AAST) liver injury grading system and World Society of Emergency Surgery's triage grading system. Furthermore, we discuss the role of imaging in hepatic trauma, as well as the indications, techniques, and roles of nonoperative and operative management.

Keywords

hepatic trauma - nonoperative management - operative management - imaging - AAST - WSES - hepatic angioembolization - hepatic injury
 

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