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Hepatic Trauma

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CT Scan in Abdominal Emergency Surgery

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

Injury to the liver is one of the leading causes of death from abdominal trauma and is responsible for 5% of all trauma admissions [1]. The liver’s relatively large size, fixed attachment points to the surrounding tissues, and friable parenchyma make it an easily injured organ in deceleration events such as motor vehicle accidents [2]. Because the liver occupies most of the right upper quadrant, it can be easily injured in direct blunt-force trauma or penetrating injury. The right lobe is more commonly injured because it represents most of the hepatic parenchyma, and because of its close proximity to the surrounding ribs and spine. Left hepatic lobe injuries are less common and are more likely the result of a direct blow to that region. The approximate ratio of blunt force to penetrating hepatic trauma is 3.5:1 [3].

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Author information

Authors and Affiliations

  1. Abdominal Imaging Section, Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    James L. Patrick M.D., Juliana Tobler M.D. & Biatta Sholosh M.D.

  2. Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Andrew B. Peitzman

Authors
  1. James L. Patrick M.D.
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  2. Juliana Tobler M.D.
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  3. Andrew B. Peitzman
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  4. Biatta Sholosh M.D.
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Corresponding author

Correspondence to Andrew B. Peitzman .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery, Ospedale Maggiore di Parma Emergency and Trauma Surgery, Parma, Parma, Italy

    Fausto Catena

  2. Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke’s Hospital, Cambridge, United Kingdom

    Salomone Di Saverio

  3. General, Emergency and Trauma Surgery, Department Bufalini Hospital, Cesena, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Federico Coccolini

  5. Department of Surgery, Macerata Hospital, Macerata, Italy

    Massimo Sartelli

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Patrick, J.L., Tobler, J., Peitzman, A.B., Sholosh, B. (2018). Hepatic Trauma. In: Catena, F., Di Saverio, S., Ansaloni, L., Coccolini, F., Sartelli, M. (eds) CT Scan in Abdominal Emergency Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-48347-4_2

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  • DOI: https://doi.org/10.1007/978-3-319-48347-4_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48346-7

  • Online ISBN: 978-3-319-48347-4

  • eBook Packages: MedicineMedicine (R0)

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