Mechanisms of blunt liver trauma patterns: An analysis of 53 cases

Jin,Wangxun; Deng,Liming; Lv,Heping; Zhang,Qiyu; Zhu,Jinying

doi:10.3892/etm.2012.837

February 2013 Volume 5 Issue 2

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February 2013 Volume 5 Issue 2

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Article

Mechanisms of blunt liver trauma patterns: An analysis of 53 cases

Authors:
- Wangxun Jin
- Liming Deng
- Heping Lv
- Qiyu Zhang
- Jinying Zhu
View Affiliations / Copyright

Affiliations: Department of General Surgery, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, P.R. China, Department of Radiology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, P.R. China
Pages: 395-398
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Published online on: November 27, 2012

https://doi.org/10.3892/etm.2012.837
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Abstract

Blunt liver trauma is the most dangerous and the second most frequent solid organ trauma that occurs in the abdominal cavity. Management of this life-threatening situation remains a significant challenge. The present study identified that the patterns of blunt liver trauma were closely correlated with the characteristics of the blunt force. Illustrations of findings from this study have been included in the hope that they may aid surgeons in improving the management of this emergency. In total, 53 cases of blunt liver trauma that underwent laparotomy in the First Affiliated Hospital of Wenzhou Medical College between 1999 and 2009 were retrospectively studied. The cause of the injury, the direction and site of the blunt force, surgical records and CT films were carefully studied to obtain information on the patterns and severity of the liver injury and the correlation with blunt forces. Trauma in the right lobe of the liver was mainly caused by acceleration, deceleration and compression of the liver, while in the left lobe of the liver, acceleration was the main cause of the trauma. Liver lacerations were always located close to the attachment sites of the ligaments which bore the majority of the shearing stress. The characteristics of the blunt force play a key role in the different patterns of blunt liver trauma. A thorough understanding of the mechanisms of blunt liver trauma may aid doctors in the management of patients with this condition.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Mechanisms of blunt liver trauma patterns: An analysis of 53 cases

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