Penetrating liver injury managed with a combination of balloon tamponade and venous stenting. A case report and literature review.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21917256.
- Also identified by DOI 10.1016/j.injury.2011.08.028.
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Abstract
AAST-OIS grade V complex hepatic injuries are often fatal as a result of exsanguination. We report a patient presenting in extremis with a penetrating injury to the right kidney, liver, middle hepatic vein, diaphragm, and lung. A combination of intrahepatic balloon tamponade and hepatic venous stenting was used to control exsanguinating haemorrhage, the first time this combination has been reported. Rapid assessment and treatment and a team approach, together with the innovative application of haemostatic techniques, allowed a multidisciplinary team to salvage this patient.
Medical subject headings
- Diaphragm
- Kidney
- Liver
- Stents
- Wounds, Stab