Evidence map›Paper›PMID 25780384›Full record

ArticleJournal of trauma management & outcomes2014

Hepatic pseudoaneurysm after traumatic liver injury; is CT follow-up warranted?

Lene Østerballe, Frederik Helgstrand, Thomas Axelsen, Jens Hillingsø, Lars Bo Svendsen

Open access · hybridAbstract read
In one paragraph

Article in Journal of trauma management & outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Guideline
  2. Value of repeat CT for nonoperative management of patients with blunt liver and spleen injury: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Visceral Arterial Pseudoaneurysms-A Clinical Review.Medicina (Kaunas, Lithuania) · 2025
    Review
  8. Review
  9. Article
  10. Multidisciplinary management of high-grade pediatric liver injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Pseudoaneurysms after high-grade blunt solid organ injury and the utility of delayed computed tomography angiography.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Observational
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Lene ØsterballeDepartment of Surgery and Liver Transplantation C, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Frederik HelgstrandDepartment of Surgery and Liver Transplantation C, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Thomas AxelsenDepartment of Radiology, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Jens HillingsøDepartment of Surgery and Liver Transplantation C, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Lars Bo SvendsenDepartment of Surgery and Liver Transplantation C, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Copenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHepatic pseudoaneurysm (HPA) is a rare complication after liver trauma, yet it is potentially fatal, as it can lead to sudden severe haemorrhage. The risk of developing posttraumatic HPA is one of the arguments for performing follow-up CT of patients with liver injuries. The aim of this study was to investigate the occurrence of HPA post liver trauma.

methodsA retrospective study from 2000-2010 of conservatively treated patients with blunt liver trauma was performed to investigate the incidence and nature of HPA. After the initial CT scan patients were admitted to the department and if not clinically indicated prior a follow-up CT was performed on day 4-5.

resultsA total of 259 non-operatively managed patients with liver injury were reviewed. 188 had a follow-up CT or US and in 7 patients a HPA was diagnosed. All aneurysms were treated with angiographic embolization and there were no treatment failures. There was no correlation between the severity of the liver injury and development of HPA. 5 out of 7 patients were asymptomatic and would have been discharged without treatment if the protocol did not include a default follow-up CT.

conclusionsIn conclusion, this study shows that HPA is not correlated to the severity of liver injury and it develops in 4% of patients after traumatic liver injury. In order to avoid potentially life-threatening haemorrhage from a post trauma hepatic pseudoaneurysm, it seems appropriate to do follow-up CT as part of the conservative management of blunt and penetrating liver injuries.

Identifiers

PMID25780384
PMCPMC4360922
OpenAlexW2127437835

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.