APPROACH TO LIVER INJURY DUE TO MULTIPLE PERFORATION BY FIREARM – CASE REPORT
Liver trauma is associated with a significant morbidity and mortality rate in the trauma setting. Early identification, rapid management and access, and adequate surgical technique directly influence patient survival. Intrahepatic balloon tamponade (a balloon constructed with a cylindrical catheter – such as a Foley catheter – surrounded by a Penrose drain) along the path of the lesion is an effective method that reduces patient mortality in severe transfixing liver injuries. In addition to liver injuries, injuries to intestinal loops and kidney injuries are common in the setting of trauma due to gunshot wounds, and in some cases, enterectomy and nephrectomy may be necessary to control the injuries caused.
APPROACH TO LIVER INJURY DUE TO MULTIPLE PERFORATION BY FIREARM – CASE REPORT
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DOI: 10.22533/at.ed.1593932309117
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Palavras-chave: Liver trauma. Perforation by firearm. Intrahepatic balloon
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Keywords: Liver trauma. Perforation by firearm. Intrahepatic balloon
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Abstract: Liver trauma is associated with a significant morbidity and mortality rate in the trauma setting. Early identification, rapid management and access, and adequate surgical technique directly influence patient survival. Intrahepatic balloon tamponade (a balloon constructed with a cylindrical catheter – such as a Foley catheter – surrounded by a Penrose drain) along the path of the lesion is an effective method that reduces patient mortality in severe transfixing liver injuries. In addition to liver injuries, injuries to intestinal loops and kidney injuries are common in the setting of trauma due to gunshot wounds, and in some cases, enterectomy and nephrectomy may be necessary to control the injuries caused.
- Mirela Benedicto Mainette
- Camilly Petri Pereira
- Ana Paula Pilon Chiecon
- Mikelly Stoffel Amorim
- Gabriely Pinheiro Leite Vieira
- Lucas Venturini de Rezende Mendes Gloria
- Márcio Cardoso Nogueira
