A rare hepatic trauma caused by vertical inertial force

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• 作者：Ying Chou Chen ; ^{chen741069@yahoo.com.tw" class="auth_mail" title="E-mail the corresponding author}
• 关键词：computed tomography ; gravity ; hepatic trauma ; hypovolemic shock ; kinetics per unit area
• 刊名：Formosan Journal of Surgery
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：49
• 期：2
• 页码：74-77
• 全文大小：695 K

文摘

We report the case of a 33-year-old man who presented to our emergency department with severe abdominal pain. He had no trauma history. Physical examination revealed peritonitis. Abdominal computed tomography revealed a large hepatic laceration with massive hemoperitoneum. The patient underwent emergency laparotomy and surgical repair of the hepatic laceration. A vertical inertial force was postulated as the cause of such a rare hepatic trauma. He recovered uneventfully. We review and discuss the detailed trauma history, clinical manifestations, imaging study observations, and mechanisms underlying inertial force injury in this report.