link
Bookmarks
Hepatic Trauma
Michael R. Aquino, MD, MHSc
To access 4,300 diagnoses written by the world's leading experts in radiology.Try it free - 15 days
0
32
2
17

KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Liver or hepatic laceration, fracture, or injury

        IMAGING

        • General Features

          • CT Findings

            • Ultrasonographic Findings

              • MR Findings

                • Angiographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Di Renzo D et al: Contrast-enhanced ultrasonography (CEUS) in the follow-up of pediatric abdominal injuries: value and timing. J Ultrasound. 23(2):151-5, 2020
                                            2. Gates RL et al: Non-operative management of solid organ injuries in children: an American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee systematic review. J Pediatr Surg. 54(8):1519-26, 2019
                                            3. Katsura M et al: Association between contrast extravasation on computed tomography scans and pseudoaneurysm formation in pediatric blunt splenic and hepatic injury: a multi-institutional observational study. J Pediatr Surg. 55(4):681-7, 2019
                                            4. Notrica DM et al: Reimaging in pediatric blunt spleen and liver injury. J Pediatr Surg. 54(2):340-4, 2019
                                            5. Stylianos S: To save a child's spleen: 50 years from Toronto to ATOMAC. J Pediatr Surg. 54(1):9-15, 2019
                                            6. Trinci M et al: Contrast-enhanced ultrasound (CEUS) in pediatric blunt abdominal trauma. J Ultrasound. 22(1):27-40, 2019
                                            7. Armstrong LB et al: Contrast enhanced ultrasound for the evaluation of blunt pediatric abdominal trauma. J Pediatr Surg. 53(3):548-52, 2018
                                            8. Kozar RA et al: Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 85(6):1119-22, 2018
                                            9. Ntoulia A et al: Applications of contrast-enhanced ultrasound in the pediatric abdomen. Abdom Radiol (NY). 43(4):948-59, 2018
                                            10. The American Association for the Surgery of Trauma: Injury Scoring Scale. Update 2018. Accessed October 3, 2021. https://www.aast.org/resources-detail/injury-scoring-scale#liver
                                            11. Temiz A et al: Management of traumatic bile duct injuries in children. Pediatr Surg Int. 34(8):829-36, 2018
                                            12. Vaughan N et al: The impact of morbid obesity on solid organ injury in children using the ATOMAC protocol at a pediatric level I trauma center. J Pediatr Surg. 52(2):345-8, 2017
                                            13. Durkin N et al: Post-traumatic liver and splenic pseudoaneurysms in children: diagnosis, management, and follow-up screening using contrast enhanced ultrasound (CEUS). J Pediatr Surg. 51(2):289-92, 2016
                                            14. Ingram MC et al: Hepatic and splenic blush on computed tomography in children following blunt abdominal trauma: Is intervention necessary? J Trauma Acute Care Surg. 81(2):266-70, 2016
                                            15. Notrica DM et al: Nonoperative management of blunt liver and spleen injury in children: evaluation of the ATOMAC guideline using GRADE. J Trauma Acute Care Surg. 79(4):683-93, 2015
                                            16. Dodgion CM et al: National trends in pediatric blunt spleen and liver injury management and potential benefits of an abbreviated bed rest protocol. J Pediatr Surg. 49(6):1004-8; discussion 1008, 2014
                                            17. Soukup ES et al: Treatment and outcome of traumatic biliary injuries in children. J Pediatr Surg. 49(2):345-8, 2014
                                            18. Ong CC et al: Primary hepatic artery embolization in pediatric blunt hepatic trauma. J Pediatr Surg. 47(12):2316-20, 2012
                                            19. Safavi A et al: Traumatic pseudoaneurysms of the liver and spleen in children: is routine screening warranted? J Pediatr Surg. 46(5):938-41, 2011
                                            20. van der Vlies CH et al: The failure rate of nonoperative management in children with splenic or liver injury with contrast blush on computed tomography: a systematic review. J Pediatr Surg. 45(5):1044-9, 2010
                                            21. Catalano O et al: CEUS in abdominal trauma: multi-center study. Abdom Imaging. 34(2):225-34, 2009
                                            22. McVay MR et al: Throwing out the "grade" book: management of isolated spleen and liver injury based on hemodynamic status. J Pediatr Surg. 43(6):1072-6, 2008
                                            23. Deluca JA et al: Injuries associated with pediatric liver trauma. Am Surg. 73(1):37-41, 2007
                                            24. Giss SR et al: Complications of nonoperative management of pediatric blunt hepatic injury: diagnosis, management, and outcomes. J Trauma. 61(2):334-9, 2006
                                            25. Yoon W et al: CT in blunt liver trauma. Radiographics. 25(1):87-104, 2005
                                            26. Eubanks JW 3rd et al: Significance of 'blush' on computed tomography scan in children with liver injury. J Pediatr Surg. 38(3):363-6; discussion 363-6, 2003
                                            27. Patten RM et al: CT detection of hepatic and splenic injuries: usefulness of liver window settings. AJR Am J Roentgenol. 175(4):1107-10, 2000
                                            28. Shilyansky J et al: Delayed hemorrhage after nonoperative management of blunt hepatic trauma in children: a rare but significant event. J Pediatr Surg. 34(1):60-4, 1999
                                            Related Anatomy
                                            Loading...
                                            Related Differential Diagnoses
                                            Loading...
                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Liver or hepatic laceration, fracture, or injury

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • Ultrasonographic Findings

                                                        • MR Findings

                                                          • Angiographic Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Di Renzo D et al: Contrast-enhanced ultrasonography (CEUS) in the follow-up of pediatric abdominal injuries: value and timing. J Ultrasound. 23(2):151-5, 2020
                                                                                      2. Gates RL et al: Non-operative management of solid organ injuries in children: an American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee systematic review. J Pediatr Surg. 54(8):1519-26, 2019
                                                                                      3. Katsura M et al: Association between contrast extravasation on computed tomography scans and pseudoaneurysm formation in pediatric blunt splenic and hepatic injury: a multi-institutional observational study. J Pediatr Surg. 55(4):681-7, 2019
                                                                                      4. Notrica DM et al: Reimaging in pediatric blunt spleen and liver injury. J Pediatr Surg. 54(2):340-4, 2019
                                                                                      5. Stylianos S: To save a child's spleen: 50 years from Toronto to ATOMAC. J Pediatr Surg. 54(1):9-15, 2019
                                                                                      6. Trinci M et al: Contrast-enhanced ultrasound (CEUS) in pediatric blunt abdominal trauma. J Ultrasound. 22(1):27-40, 2019
                                                                                      7. Armstrong LB et al: Contrast enhanced ultrasound for the evaluation of blunt pediatric abdominal trauma. J Pediatr Surg. 53(3):548-52, 2018
                                                                                      8. Kozar RA et al: Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 85(6):1119-22, 2018
                                                                                      9. Ntoulia A et al: Applications of contrast-enhanced ultrasound in the pediatric abdomen. Abdom Radiol (NY). 43(4):948-59, 2018
                                                                                      10. The American Association for the Surgery of Trauma: Injury Scoring Scale. Update 2018. Accessed October 3, 2021. https://www.aast.org/resources-detail/injury-scoring-scale#liver
                                                                                      11. Temiz A et al: Management of traumatic bile duct injuries in children. Pediatr Surg Int. 34(8):829-36, 2018
                                                                                      12. Vaughan N et al: The impact of morbid obesity on solid organ injury in children using the ATOMAC protocol at a pediatric level I trauma center. J Pediatr Surg. 52(2):345-8, 2017
                                                                                      13. Durkin N et al: Post-traumatic liver and splenic pseudoaneurysms in children: diagnosis, management, and follow-up screening using contrast enhanced ultrasound (CEUS). J Pediatr Surg. 51(2):289-92, 2016
                                                                                      14. Ingram MC et al: Hepatic and splenic blush on computed tomography in children following blunt abdominal trauma: Is intervention necessary? J Trauma Acute Care Surg. 81(2):266-70, 2016
                                                                                      15. Notrica DM et al: Nonoperative management of blunt liver and spleen injury in children: evaluation of the ATOMAC guideline using GRADE. J Trauma Acute Care Surg. 79(4):683-93, 2015
                                                                                      16. Dodgion CM et al: National trends in pediatric blunt spleen and liver injury management and potential benefits of an abbreviated bed rest protocol. J Pediatr Surg. 49(6):1004-8; discussion 1008, 2014
                                                                                      17. Soukup ES et al: Treatment and outcome of traumatic biliary injuries in children. J Pediatr Surg. 49(2):345-8, 2014
                                                                                      18. Ong CC et al: Primary hepatic artery embolization in pediatric blunt hepatic trauma. J Pediatr Surg. 47(12):2316-20, 2012
                                                                                      19. Safavi A et al: Traumatic pseudoaneurysms of the liver and spleen in children: is routine screening warranted? J Pediatr Surg. 46(5):938-41, 2011
                                                                                      20. van der Vlies CH et al: The failure rate of nonoperative management in children with splenic or liver injury with contrast blush on computed tomography: a systematic review. J Pediatr Surg. 45(5):1044-9, 2010
                                                                                      21. Catalano O et al: CEUS in abdominal trauma: multi-center study. Abdom Imaging. 34(2):225-34, 2009
                                                                                      22. McVay MR et al: Throwing out the "grade" book: management of isolated spleen and liver injury based on hemodynamic status. J Pediatr Surg. 43(6):1072-6, 2008
                                                                                      23. Deluca JA et al: Injuries associated with pediatric liver trauma. Am Surg. 73(1):37-41, 2007
                                                                                      24. Giss SR et al: Complications of nonoperative management of pediatric blunt hepatic injury: diagnosis, management, and outcomes. J Trauma. 61(2):334-9, 2006
                                                                                      25. Yoon W et al: CT in blunt liver trauma. Radiographics. 25(1):87-104, 2005
                                                                                      26. Eubanks JW 3rd et al: Significance of 'blush' on computed tomography scan in children with liver injury. J Pediatr Surg. 38(3):363-6; discussion 363-6, 2003
                                                                                      27. Patten RM et al: CT detection of hepatic and splenic injuries: usefulness of liver window settings. AJR Am J Roentgenol. 175(4):1107-10, 2000
                                                                                      28. Shilyansky J et al: Delayed hemorrhage after nonoperative management of blunt hepatic trauma in children: a rare but significant event. J Pediatr Surg. 34(1):60-4, 1999