Gasque Rodrigo Antonio, Cervantes José Gabriel, Beltrame Magalí Chahdi, Lenz-Virreira Marcelo Enrique, Quiñonez Emilio Gastón
HPB Surgery and Liver Transplantation Unit, Hospital de Alta Complejidad "El Cruce", Buenos Aires, Argentina.
J Trauma Inj. 2024 Dec;37(4):286-290. doi: 10.20408/jti.2024.0036. Epub 2024 Oct 21.
This report presents the case of a 20-year-old man who sustained a severe liver injury from a close-range shotgun blast. A prompt medical intervention, including damage control exploratory laparotomy and surgical debridement, was undertaken due to the extent of liver damage. Despite challenges such as a nondirected biliary fistula and extensive liver parenchymal injury, comprehensive surgical management led to successful treatment. Postoperative complications, including biloma and fungal infection, were managed appropriately, highlighting the importance of vigilant follow-up care. The case underscores the complexity of managing severe liver trauma and emphasizes the evolving role of trauma damage control strategies and minimally invasive procedures in achieving favorable outcomes.
本报告介绍了一名20岁男性的病例，该患者因近距离猎枪射击而遭受严重肝损伤。由于肝脏损伤程度严重，立即进行了包括损伤控制剖腹探查术和手术清创在内的医疗干预。尽管面临诸如非定向胆瘘和广泛肝实质损伤等挑战，但全面的手术管理仍取得了成功治疗。术后并发症，包括胆汁瘤和真菌感染，得到了妥善处理，突出了警惕性随访护理的重要性。该病例强调了管理严重肝外伤的复杂性，并强调了创伤损伤控制策略和微创手术在取得良好结果方面不断演变的作用。
