• Injury · Jan 2012

    Review Case Reports

    Penetrating liver injury managed with a combination of balloon tamponade and venous stenting. A case report and literature review.

    • Melissa M Beitner, Nancy Suh, Richard Dowling, and Julie A Miller.
    • Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
    • Injury. 2012 Jan 1; 43 (1): 119-22.

    AbstractAAST-OIS grade V complex hepatic injuries are often fatal as a result of exsanguination. We report a patient presenting in extremis with a penetrating injury to the right kidney, liver, middle hepatic vein, diaphragm, and lung. A combination of intrahepatic balloon tamponade and hepatic venous stenting was used to control exsanguinating haemorrhage, the first time this combination has been reported. Rapid assessment and treatment and a team approach, together with the innovative application of haemostatic techniques, allowed a multidisciplinary team to salvage this patient.Copyright © 2011 Elsevier Ltd. All rights reserved.

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