Delayed liver hematoma development following deceleration injury

Czech version

Authors: M. Holešta ¹; V. Janík ¹; R. Gürlich ²; H. Šuca ³
Authors‘ workplace: Radiodiagnostická klinika FNKV, přednosta: doc. MUDr. V. Janík ¹; Chirurgická klinika FNKV, přednosta: doc. MUDr. R. Gürlich ²; Klinika popáleninové medicíny FNKV, přednosta: Prim. MUDr. I. Pafčuga ³
Published in: Rozhl. Chir., 2015, roč. 94, č. 3, s. 131-134.
Category: Case Report

Overview

Our report presents the case of a young woman who suffered liver trauma after electrical current injury and ensuing fall from an electricity pylon. The resulting intrahepatic hematoma manifested after a time interval of 48 hours following the injury, with initially negative CT scan.

Key words:
liver hematoma −⁠ electrical current –⁠ polytrauma −⁠ burns

Sources

1. Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology 2012;265 : 678–93.

2. Spies Ch, Trohman RG. Narrative review: Electrocution and life-threatening electrical injuries. Ann Intern Med 2006;145 : 531−7.

3. Cooper MA. FACEP. Emergent care of lightning and electrical injuries. Seminars in neurology 1995;3 : 268−78.

4. Huber-Wagner S, Biberthaler P, Häberle S, et al. Whole-body CT in haemodynamically unstable severely injured patients –⁠ A retrospective, multicentre study. PLOS ONE, 24. 7. 2013.

5. Vyhnánek F. Současný postup u poranění jater. Úrazová chirurgie 2012;20 : 36−42.

6. Štefan J, Hladík J a kol. Soudní lékařství a jeho moderní trendy. 1. vydání. Praha, Grada 2012.

7. Silberstein E, Krieger Y, Sagi A, et al. Electrical burn with abdominal visceral involvement managed by immediate aggressive debridement and flap coverage. IMAJ 2013;15 : 524−6.

8. O‘Connor JV, Byrne Ch, Scalea TM. Vascular injuries after blunt chest trauma: diagnosis and management. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009;17 : 42.

9. Vernick JJ, Ahmed N. Management of liver trauma in adults. Journal of Emergencies, Trauma and Shock 2011;4 : 114–9.

Labels

Surgery Orthopaedics Trauma surgery

Low anterior resection syndrome

The role of surgical embolectomy and extracorporeal membrane oxygen therapy in the treatment of massive pulmonary embolism – a review

Surgical repair of recurrent pectus excavatum in adults and adolescents

Avoidance of axillary lymph node dissection in breast cancer patients with metastatic sentinel node – a pilot study

Failed preoperative lymphoscintigraphy for sentinel lymph node biopsy in breast cancer, possible causes and implications for the surgery – the analysis of 3014 procedures

The first lung re-transplantation in the Czech Republic

Article was published in

Perspectives in Surgery

2015 Issue 3