Liver and kidney trauma - AAST grade V
Diagnosis certain
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The patient went emergently to the operating room while resuscitating by IV the fluid and packpacked 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 doneperformed. 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 diesdied from traumatic shock within 48 hours of the admission.
-<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>- +<p>The patient went emergently to the operating room while resuscitating by IV fluid and packed 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 performed. 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 died from traumatic shock within 48 hours of admission.</p>
Systems changed:
- Hepatobiliary
- Urogenital
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