ArticleBMC surgery2022
Outcomes and management of delayed complication after severe blunt liver injury.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- False intrahepatic aneurysms post open trauma revealed by hemobilia: Selective embolization at the service of the visceral surgeon.Radiology case reports · 2025Article
- High-Output Bile Leak Following AAST Grade III Liver Injury Resolved With Endoscopic Stenting: A Case Report.Cureus · 2025Article
- Solid Organ Injuries: To Irradiate or Operate?Seminars in interventional radiology · 2025Review
- Post-traumatic pseudoaneurysm of the right hepatic artery: Two case reports - New Ukrainian reality.International journal of surgery case reports · 2024Article
- Severe liver trauma with complex portal and common bile duct avulsion: A case report and review of the literature.World journal of clinical cases · 2023Article
- 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 · 2023Observational
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Authors and funding
6 authors.
Funding
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Abstract
backgroundThe treatment of delayed complications after liver trauma such as bile leakage (BL) and hepatic artery pseudoaneurysms (HAPs) is difficult. The purpose of this study is to investigate the outcomes and management of post-traumatic BL and HAPs.
methodsWe retrospectively evaluated patients diagnosed with blunt liver injury, graded by the American Association for the Surgery of Trauma Liver Injury Scale, who were admitted to our hospital between April 2010 and December 2019. Patient characteristics and treatments were analyzed.
resultsA total of 176 patients with blunt liver injury were evaluated. Patients were diagnosed with grade I-II liver injury (n = 127) and with grade III-V injury (n = 49). BL was not observed in patients with grade I-II injury. Eight patients with grade III-V injury developed BL: surgical intervention was not needed for six patients with peripheral bile duct injury, but hepaticojejunostomy was needed for two patients with central bile duct injury. Out of 10 patients with HAPs, only three with grade I-II injury and one with grade III-V were treated conservatively; the rest six with grade III-V injury required transcatheter arterial embolization (TAE). All pseudoaneurysms disappeared.
conclusionsSevere blunt liver injury causing peripheral bile duct injury can be treated conservatively. In contrast, the central bile duct injury requires surgical treatment. HAPs with grade I-II injury might disappear spontaneously. HAPs with grade III-V injury should be considered TAE.
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