Recognition and treatment of visceral injury following blunt abdominal trauma has received appropriate attention in the last few years. However, liver rupture has not been adequately emphasized, perhaps because the trauma surgeon is often reluctant to deal with this friable, highly vascular organ, and limited surgical procedures have frequently resulted in death. A recent review of diagnosis and management in 58 patients with nonpenetrating liver injury in a recent issue of the Archives of Surgery1 reports a 15.4% mortality which compares favorably with previous figures of 25% to 60%, and reflects an improved prognosis with a more aggressive approach to the injured liver. More effective ancillary measures, increased attention to blood volume replacement, and other therapeutic agents, including antibiotics, obviously play a role in the improvement.
As might be anticipated, automobile steering wheel injuries are frequently the cause of liver damage, and any blow to the upper abdomen or chest
NONPENETRATING LIVER INJURY. JAMA. 1966;197(9):724. doi:10.1001/jama.1966.03110090088027
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