management

FREE subscriptions for doctors and students... click here
You have 3 more open access pages.

If the patient fails to respond to blood transfusion then ongoing haemorrhage is to be suspected and an urgent laparotomy is required.

The first goal is control of haemorrhage:

  • sutures or packing may suffice
  • radical manoeuvres require temporary occlusion of:
    • the inferior vena cava above and below the liver
    • the portal vein
    • the hepatic artery

The second goal is removal of devitalized liver fragments:

  • may require complete liver lobectomy

Haemobilia is a complication of liver trauma.

Last reviewed 01/2018

Links: