Liver and kidney trauma - AAST grade V
Diagnosis certain
Updates to Case Attributes
Status
changed from draft to pending review.
Body
was changed:
The patient went emergently to the operating room while resuscitating by IV the fluid and pack cellcells. The majority of the right liver was disrupted- macerated with some hepatic fragments found in the pelvis. The foci of active bleeding packed with about14several elongases. No pulsatile or expansile retroperitoneal hematoma found, so no further retroperitoneal exploration was madedone. A few hours later he again brought to the operating room with hypotension and blood oozing from the surgical incision and again underwent hepatic packing. The patient dies from traumatic shock within 48 hours of the admission.
-<p>The patient went emergently to the operating room while resuscitating by IV fluid and pack cell. The majority of the right liver was disrupted- macerated with some hepatic fragments found in the pelvis. The foci of active bleeding packed with about14 elongases. No pulsatile or expansile retroperitoneal hematoma found, so no further retroperitoneal exploration was made.</p>- +<p>The patient went emergently to the operating room while resuscitating by IV the fluid and pack cells. The majority of the right liver was disrupted- macerated with some hepatic fragments found in the pelvis. The foci of active bleeding packed with several elongases. No pulsatile or expansile retroperitoneal hematoma found, so no further retroperitoneal exploration was done. A few hours later he again brought to the operating room with hypotension and blood oozing from the surgical incision and again underwent hepatic packing. The patient dies from traumatic shock within 48 hours of the admission.</p>