ArticleBMC surgery2018
Blunt liver trauma: a descriptive analysis from a level I trauma center.
Article in BMC surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- The risk of hepatic pseudoaneurysm after liver trauma in relation to the severity of liver injury: a meta-analysis and meta-regression analysis.Langenbeck's archives of surgery · 2023Pooled it
- Liver trauma: WSES 2020 guidelines.World journal of emergency surgery : WJES · 2020Guideline
- Contemporary management pathways in liver trauma: predominant and successful use of non-operative strategies at a high-volume tertiary center.Langenbeck's archives of surgery · 2026Article
- Selective non-operative management of traumatic liver injury in Palestine: a retrospective single-center cohort study.Frontiers in medicine · 2026Article
- Obesity and short-term outcomes in blunt liver trauma with and without surgical repair: evidence from the United States Nationwide Inpatient Sample 2005-2020.Surgical endoscopy · 2025Article
- Prevalence, characteristics and treatment of concomitant injury to liver and spleen with vascular injury after blunt abdominal trauma.Scientific reports · 2025Article
- Limited Diagnostic Value of miRNAs in Early Trauma-Induced Liver Injury: Only miRNA-122 Emerges as a Late-Phase Marker.Diagnostics (Basel, Switzerland) · 2025Article
- Efficacy of Transcatheter Arterial Embolization for Hemorrhage Control in Traumatic Hepatic Injury With Celiac Axis Stenosis.Emergency medicine international · 2025Article
- Low-Energy Trauma: Severe Liver Injury in an Elderly Patient from a Seated Fall.The American journal of case reports · 2024Article
- Management and Outcomes of Traumatic Liver Injury: A Retrospective Analysis from a Tertiary Care Center Experience.Healthcare (Basel, Switzerland) · 2024Article
- Use of angioembolization, treatment modalities and mortality in association with blunt liver trauma in Germany - a data analysis of the TraumaRegister DGU®.Langenbeck's archives of surgery · 2023Article
- Article
- Gunshot wound versus blunt liver injuries: different liver-related complications and outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Liver Trauma: Management in the Emergency Setting and Medico-Legal Implications.Diagnostics (Basel, Switzerland) · 2022Review
- Factors Affecting the Severity of Placental Abruption in Pregnant Vehicle Drivers: Analysis with a Novel Finite Element Model.Healthcare (Basel, Switzerland) · 2021Article
- Article
- The role of interventional radiology in hepatic and renal hemorrhage embolization: single center experience and literature review.Acta bio-medica : Atenei Parmensis · 2021Review
- Transcatheter arterial embolization for severe blunt liver injury in hemodynamically unstable patients: a 15-year retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Management for traumatic hepatic injury diagnosed by contrast-enhanced ultrasonography in a patient with an occluded coeliac axis: a case report.The Journal of international medical research · 2021Article
- Blunt liver trauma: effectiveness and evolution of non-operative management (NOM) in 145 consecutive cases.Updates in surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to review liver injury experience in a level 1 trauma center; namely clinical presentation, grading, management approach and clinical outcomes.
methodsIt is a retrospective analysis to include all blunt liver injury patients who were admitted at the Level 1 trauma center over a 3-year period. Data were compared and analyzed based on the liver injury grades and management approaches.
resultsBlunt liver injury accounted for 38% of the total blunt abdominal trauma cases with a mean age of 31 ± 13 years. Liver injury grade II (44.7%) was most common followed by grade I (28.8%), grade III (19.1%), grade IV (7.0%) and grade V (0.4%). Blood transfusion was more frequently required in patients with grade IV (p = 0.04). Out of 257 patients with blunt liver trauma, 198 were initially treated conservatively, that was successful in 192 (97%), whereas it failed in 6 (3%) patients due to delayed bleeding from hepatic hematoma, associated splenic rupture and small bowel injury which mandate surgical intervention. Fifty-nine patients (23%) underwent emergent surgery in terms of packing, resection debridement, left lobe hepatectomy and splenectomy. Hepatic complications included biloma, pseudoaneurysm and massive liver necrosis. Subanalysis of data using the World Society of Emergency Surgery (WSES) classification revealed 19 patients were categorized as a WSES grade IV who needed surgical intervention without having an initial computerized tomography scanning. The overall mortality was 7.8% which was comparable among the conservative and operative group.
conclusionsIn our center, low grade liver injury in young males prevails. NOM is successful even for high graded injuries. All conservatively treated patients with high-grade liver injuries should be closely monitored for signs of failure of the non-operative management. Introducing the new WSES classification makes clear how is important the hemodynamic status of the patients despite the lesion. However, further larger prospective and multicenter studies are needed to support our findings.
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