Right hepatic vein injury after blunt abdominal trauma in a 12-year-old boy : case report

2008
journal article
article
dc.abstract.enBackground: Blunt abdominal trauma in children is one of the most frequent causes of hospitalization. We present a rare case of traumatic liver injury. Case report: A 12-year-old boy was admitted to the Surgery Department after a bicycle fall and handlebar impact injury to the right infracostal area. At admission he was stable, with no abnormalities, except for a subcutaneous hematoma found in the injured area. Abdominal ultrasound examination revealed free intraperitoneal fluid. Computed tomography (CT) revealed irregular branching laceration of the right superior hepatic segments with extension into the hepatic veins. No active extravasation of contrast material was seen. On the next day, because of the deterioration of the patient’s condition, CT examination was repeated and revealed focal extravasation of contrast material in the portal hilum, posterior to the gallbladder. An injury of the right hepatic vein was found on laparotomy. Conclusions: Hepatic vein injury is a rare but very serious complication after blunt liver trauma and it is an indication for surgical treatment. Diagnostic imaging is essential for therapeutic decisions, but its value is sometimes limited. The precise analysis of injury mechanism and localization may be very helpful. CT is currently the modality of choice for the evaluation of blunt liver trauma. If an active bleeding is suspected the delayed scans seem to be recommended.pl
dc.contributor.authorRoik, Danutapl
dc.contributor.authorKonecka, Annapl
dc.contributor.authorBrzewski, Michałpl
dc.contributor.authorMarciński, Andrzejpl
dc.contributor.authorKamiński, Andrzejpl
dc.contributor.authorPiotrowska, Annapl
dc.contributor.authorJasińska, Aleksandrapl
dc.date.accession2019-05-17pl
dc.date.accessioned2019-05-17T07:48:51Z
dc.date.available2019-05-17T07:48:51Z
dc.date.issued2008pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 94pl
dc.description.number2pl
dc.description.physical92-94pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume73pl
dc.identifier.articleid857112pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/75010
dc.identifier.weblinkhttp://archiwum.inforadiologia.pl/download/index/idArt/857112.htmlpl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enhepatic vein injurypl
dc.subject.enchildrenpl
dc.subject.enblunt liver traumapl
dc.subject.enCTpl
dc.subtypeArticlepl
dc.titleRight hepatic vein injury after blunt abdominal trauma in a 12-year-old boy : case reportpl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Background: Blunt abdominal trauma in children is one of the most frequent causes of hospitalization. We present a rare case of traumatic liver injury. Case report: A 12-year-old boy was admitted to the Surgery Department after a bicycle fall and handlebar impact injury to the right infracostal area. At admission he was stable, with no abnormalities, except for a subcutaneous hematoma found in the injured area. Abdominal ultrasound examination revealed free intraperitoneal fluid. Computed tomography (CT) revealed irregular branching laceration of the right superior hepatic segments with extension into the hepatic veins. No active extravasation of contrast material was seen. On the next day, because of the deterioration of the patient’s condition, CT examination was repeated and revealed focal extravasation of contrast material in the portal hilum, posterior to the gallbladder. An injury of the right hepatic vein was found on laparotomy. Conclusions: Hepatic vein injury is a rare but very serious complication after blunt liver trauma and it is an indication for surgical treatment. Diagnostic imaging is essential for therapeutic decisions, but its value is sometimes limited. The precise analysis of injury mechanism and localization may be very helpful. CT is currently the modality of choice for the evaluation of blunt liver trauma. If an active bleeding is suspected the delayed scans seem to be recommended.
dc.contributor.authorpl
Roik, Danuta
dc.contributor.authorpl
Konecka, Anna
dc.contributor.authorpl
Brzewski, Michał
dc.contributor.authorpl
Marciński, Andrzej
dc.contributor.authorpl
Kamiński, Andrzej
dc.contributor.authorpl
Piotrowska, Anna
dc.contributor.authorpl
Jasińska, Aleksandra
dc.date.accessionpl
2019-05-17
dc.date.accessioned
2019-05-17T07:48:51Z
dc.date.available
2019-05-17T07:48:51Z
dc.date.issuedpl
2008
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 94
dc.description.numberpl
2
dc.description.physicalpl
92-94
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
73
dc.identifier.articleidpl
857112
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/75010
dc.identifier.weblinkpl
http://archiwum.inforadiologia.pl/download/index/idArt/857112.html
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
hepatic vein injury
dc.subject.enpl
children
dc.subject.enpl
blunt liver trauma
dc.subject.enpl
CT
dc.subtypepl
Article
dc.titlepl
Right hepatic vein injury after blunt abdominal trauma in a 12-year-old boy : case report
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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