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Emergency liver transplantation following severe liver trauma
Author(s) -
Tucker Olga N.,
Marriott Paul,
Rela Mohamed,
Heaton Nigel
Publication year - 2008
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.21555
Subject(s) - medicine , liver transplantation , abdominal trauma , blunt , gunshot injury , surgery , hepatectomy , liver injury , radiological weapon , blunt trauma , transplantation , penetrating trauma , resection
Liver trauma is a major cause of mortality after major blunt and penetrating abdominal trauma. The need for life‐saving emergency hepatectomy and liver transplantation is extremely rare. We report the management of 2 patients who required urgent liver transplantation for liver trauma. One patient developed hepatic failure following global ischemia after a gunshot injury. The second patient developed a severe postreperfusion injury following removal of a perihepatic pack after blunt abdominal trauma. We highlight the difficulties in the management of severe liver trauma with an emphasis on the clinical features, radiological investigations, and surgical treatment of these complex patients. Liver Transpl 14:1204–1210, 2008. © 2008 AASLD.