Operative Management of Massive Hepatic Trauma

Abstract

Few injuryes pose as formidable a challenge to the trauma surgeon as a major hepatic injury. When this combines with a juxtahepatic IVC injury it becomes one of the most life threatening injuries encountered in general surgery. This is a case report of a young male who presented to us in shock with a run over injury with ambiguous signs of peritonitis. Upon doing an exploratory laparotomy, he turned out to have major hepatic and splenic trauma with a lateral rent of juxtahepatic IVC. Hepatic segmentectomy, splenectomy and a repair of IVC were done. The patients survived with minor post op complications, and is now doing well and has resumed his routine daily activities.