Computerized Tomography features of hepatic injury in blunt abdominal trauma: Case study in Takuapa Hospital
Keywords:
liver injury, blunt abdominal traumaAbstract
Hepatic injury is common and important condition in blunt abdominal injury. Computerized Tomogaphy is the major role for evaluate hepatic injury. The CT findings of hepatic injury are divided into major and minor features. The major features are composed of intrahepatic and subcapsular hematoma, liver laceration, active hemorrhage and major venous injury. The periportal low attenuation and flattening of inferior venacava are minor features. The hepatic injury grading according to American Association for the Surgery of Trauma (AAST) shows severity and prognos is of injury which use for treatment planing.
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2. Haan JM, Bochicchio GV, Kramer N, Scalea TM. Nonoperative management of blunt splenic injury: a 5-year experience. J Trauma 2005; 58(3): 492-8.
3. 3.Schroeppel TJ, Croce MA: Diagnosis and management of blunt abdominal solid organ injury. CurrOpinCrit Care 2007; 13(4): 399-404.
4. Velmahos GC, Toutouzas KG, Radin R, Chan L, Demetriades D. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg 2003; 138(8): 844-51.
5. Wei B, Hemmila MR. Arbabi S, Taheri PA, Wahl WL. Angioembolization reduces operative intervention for blunt splenic injury. J Trauma 2008; 64(6): 1472-7.
6. Yanar H, Ertekin C, Taviloglu K, Kabay B, Bakkaloglu H, Guloglu R. Nonoperative treatment of multiple intra-abdominal solid organ injury after blunt abdominal trauma. J Trauma 2008; 64(4): 943-8.
7. Boone DC, Federle M, Billiar TR, Udekwu AO, Peitzman AB. Evolution of management of major hepatic trauma: identification of patterns of injury. J Trauma 1995; 39: 344–50.
8. Pachter HL, Hofstetter SR. The current status of nonoperative management of adult blunt hepatic injuries. Am J Surg 1995; 169: 442–54.
9. Richardson DJ, Franklin GA, Lukan JK, Carrillo EH, Spain DA, Miller FB et al. Evolution in the management of hepatic trauma: a 25-year perspective. Ann Surg 2000; 232: 324–30.
10. Coughlin PA, Stringer MD, Lodge JP, Pollard SG, Prasad KR, Toogood GJ. Management of blunt liver trauma in a tertiary referral centre. Br J Surg
2004; 91: 317–21.
11. Andersson R, Alwmark A, Hasselgren P-O, Bengmark S. International Hepato-Pancreato-Biliary Association Management of liver trauma – a nonoperative approach in selected cases. Surg Res Comm 1989; 4: 293–7.
12. Andersson R, Alwmark A, Gullstrand P, Offenbartl K, Bengmark S. Nonoperative treatment of blunt trauma to liver and spleen. ActaChirScand 1986; 152: 739–41.
13. Parks RW, Chrysos E, Diamond T. Management of liver trauma. Br J Surg 1999; 86: 1121–35.
14. ShanmuganathanK,MirvisSE.CTscanevaluationofblunthepatictrauma. RadiolCli NorthAm1998; 36:399- 411.
15. Yoon W, Jeong Y Y, Kim J K,. C Tinbluntliver trauma. Radiographics 2005;25:87-104.
16. Cuff R F, Cogbill T H, Lambert P J. Nonoperativemana gementofbluntlivertrauma: thevalueoffollow-up abdominal computed tomography scans. Am Surg
2000;66:332-6.
17. PachterHL, KnudsonMM, EsrigB,etal. Statusofnonoperativemanagementofblunthepaticinjuriesin1995: a multicenter experience with 404 patients. J Trauma 1996;40:31-8.
18. Malhotra AK, Fabian TC, Croce MA,. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg 2000; 231:804 – 813.
19. David Richardson J, Franklin GA, Lukan JK,. Evolution in the management of hepatic trauma: a 25-year perspective. Ann Surg 2000; 232:324 – 330.
20. Ashley BC. Management of hepatic trauma in adults: www.uptodate.com update on Jan 07, 2015
21. Nasim Ahmed, Jerome JV. Management of liver trauma in adults: J Emergency Trauma Shock 2011 Jan-Mar; 4(1): 114-119
22. สุนทรี มูลรินต๊ะ. ความถูกต้องของการวินิจฉัยการบาดเจ็บอวัยวะในช่องท้องด้วยคลื่นเสียงความถี่สูงของโรงพยาบาลนครพิงค์. วารสารวิชาการสาธารณสุข. 2551; 17: SV 1347-55.
23. อรศิริ อมรวิทยาชาญ.การวินิจฉัยการบาดเจ็บของช่องท้องชนิดไม่มีบาดแผลด้วยเครื่องเอกซเรย์คอมพิวเตอร์. Journal of Medicine and Health Sciences (vol.21 No.1 April 2014):53-62.
24. ธานี ลิ้มทอง. รูปแบบการรักษาและพยากรณ์ความสำเร็จของการรักษาแบบประคับประคองไม่ต้องผ่าตัดในผู้ป่วยบาดเจ็บช่องท้องจากถูกกระแทกโดยไม่ได้ทำการประเมินด้วยเอกซเรย์คอมพิวเตอร์. The Thai journal of Trauma (vol.2 No.2 May-August 1010): 53-88
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Published
2016-09-01
How to Cite
พลจันทร์ ส. (2016). Computerized Tomography features of hepatic injury in blunt abdominal trauma: Case study in Takuapa Hospital. Region 11 Medical Journal, 30(3), 187–196. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/178950
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Case Report
