How is a lacerated liver treated?
How is a lacerated liver treated?
How is a liver or spleen laceration treated?
- Medicines may be given to treat pain and prevent infection.
- A blood transfusion may be given if you bleed heavily.
- IV fluids may be given to prevent dehydration and help your circulation.
- A drain may be placed to remove extra blood or fluid from your abdomen.
How long does it take for a lacerated liver to heal?
Healing of a simple liver laceration and subcapsular hematoma occurs in 2 to 4 months, whereas complex injuries require up to 6 months. The healing time for hepatic lacerations is different from subcapsular hematomas (Table 2).
Is a liver laceration life threatening?
AAST liver injury classifications Grade IV and greater require surgical intervention to stop the bleeding. A liver laceration can be life threatening and can result in death.
How bad is a Grade 5 liver laceration?
Background: Despite recent advances in the management of severe hepatic injuries, the operative mortality rate of grade V hepatic injuries still ranges from 67% to 80%. Grade V hepatic injuries involving the retrohepatic cava or main hepatic veins are almost always lethal, especially those from blunt trauma.
What are the symptoms of a lacerated liver?
What happens when a liver is lacerated?
- Abdominal pain.
- Guarding (holding hand over the area)
- Tenderness in the upper right part of the abdomen.
- Right shoulder pain and signs of shock and blood loss.
How is a punctured liver treated?
The treatment recommended for large or jagged lacerations of the liver is packing of the laceration with absorbable hemostatic sponges (gelfoam, oxycel, fibrin foam or fibrinogen foam).
Can I drink with a lacerated liver?
Do not drink alcohol or drive until you stop your pain medicines. Do not take herbal supplements until you talk to your doctor (vitamins are okay). Be sure to go to your follow-up visit if one is needed. You may need to have a blood test in the lab before you see the doctor.
How painful is a lacerated liver?
Liver lacerations most often occur from motor vehicle accidents, gunshot wounds, or stabbing injuries. Symptoms of a liver laceration include pain in the area of the liver, which is worse when taking a deep breath. You may have nausea, vomiting, and you may feel lightheaded.
Can you drink alcohol with a lacerated liver?
What does a lacerated liver feel like?
What are the grades of liver laceration?
Table 1
| Grade | Type | Injury description |
|---|---|---|
| V | Laceration | Parenchymal disruption involving >75% of hepatic lobe or >3 Couinaud’s segments within a single lobe |
| Vascular | Juxtahepatic venous injuries (i.e., retrohepatic vena cava/central major hepatic veins) | |
| VI | Vascular | Hepatic avulsion |
