Question
Which of the following statements regarding a patient of liver trauma are correct?
1. Liver is the most common organ injured following abdominal trauma.
2. Surgical exploration (laparotomy) is required in haemodynamically unstable patients and patients with free intraperitoneal fluid on FAST.
3. Contrast enhanced CT abdomen should be done in haemodynamically stable patients.
4. Blunt injuries have a higher mortality as compared to penetrating injuries.
Select the correct answer using the code given below.
The correct answer is
2, 3 and 4
Liver Trauma Management Statements
Statement Verification
- Statement 1: Incorrect. While the liver is a commonly injured organ in abdominal trauma, it is not definitively the single most common in all cases.
- Statement 2: Correct. Haemodynamic instability or a positive FAST scan indicating free intraperitoneal fluid necessitates urgent surgical exploration (laparotomy).
- Statement 3: Correct. Contrast-enhanced CT of the abdomen is the appropriate imaging modality for assessing liver injuries in haemodynamically stable patients.
- Statement 4: Correct. Blunt liver injuries are often associated with higher mortality rates compared to penetrating injuries due to factors like severity and associated trauma.
Summary of Correct Statements
Statements 2, 3, and 4 are identified as correct regarding liver trauma management.
Was this answer helpful?
Important Questions from Abdominal Injuries
- Diaphragmatic injury is suspected in a 50 year gentleman with history of blunt abdominal trauma, having a normal chest X-ray. He is best managed by:
- Mainstay of an accurate diagnosis of pancreatic injury following blunt abdominal trauma is:
- A 30-year-old patient developed haematuria following a blunt injury to the abdomen. The patient is haemodynamically stable. However, the ultrasonographic examination reveals a perirenal collection which measures 4 x 4 cm. The patient is best managed by
- Consider the following findings with reference to a diagnostic peritoneal lavage (DPL) in a case of abdominal trauma :
1. $10\text{ ml}$ of gross blood on aspiration
2. W.B.C. count more than $500/\text{cu mm}$
3. Amylase level more than $175\text{ IU/dL}$
4. R.B.C. count more than $100,000/\text{cu mm}$
The criteria for a positive DPL are : - What is the investigation of choice in a patient with blunt abdominal trauma with hematuria?
Need Expert Advice?
