2021年7月14日 · For local haemorrhage control from the liver, Pringles manoeuvre (clamping of portal vein, hepatic artery and choledochus), can be performed until the problem is localized and fixed. Clamping should not exceed 20–60 min to avoid excessive ischemia times, particularly in the hypotensive, shocked patient.

2023年7月17日 · The liver is the most common solid organ injured in blunt trauma, and patients with hepatic injury usually have other concomitant injuries. Mortality from hepatic trauma depends on the degree of injury. Minor liver injuries make up …

2024年12月16日 · The mechanism for liver trauma can be blunt (e.g. motor vehicle collision, fall, direct blow, etc.) or penetrating trauma (e.g. gunshot, stabbing). It can also be iatrogenic (e.g. percutaneous liver biopsy, operative injury). Types. Most (~80%) of liver injuries are minor (grades I to III - see AAST grading). There are a range of injuries ref:

2023年8月8日 · The portal vein enters the liver within the hepatoduodenal ligament, traveling posterior to the proper hepatic artery and the common bile duct. When the portal vein reaches the hilum of the liver, it divides into right and left branches and feeds into the liver sinusoids. This vasculature comprises the majority of the blood flow to the liver ...

This report describes the nonsurgical treatment of a case involving blunt traumatic liver injury accompanied by intrahepatic portal vein injury through portal vein embolization (PVE) and establishes the characteristics of intrahepatic portal vein injury and indications for PVE.

2023年9月20日 · Portal vein thrombosis (PVT) secondary to blunt abdominal trauma associated with liver injury is extremely rare in healthy individuals as well as in minor liver injury, and it carries a high rate of morbidity and mortality. Moreover, acute asymptomatic PVT is difficult to diagnose.

2025年2月8日 · Liver repair and regeneration are crucial physiological responses to hepatic injury and are orchestrated through intricate cellular and molecular networks. This review systematically delineates ...

2016年6月25日 · Portal inflammation is probably the most commonly observed pattern of liver injury (Fig. 3.1). Two major and common disease processes – chronic viral hepatitis and autoimmune hepatitis – are characterized by prominent portal mononuclear inflammation, and several other diseases feature minor portal inflammation in addition to more ...

2013年10月10日 · Pre-procedural triple-phase CT in stable trauma patients with known portal hypertension and liver injury could help distinguish arterial versus portal hemorrhage. This could save the time and risks associated with conventional angiography; however, may not be feasible in unstable patients.

Here, we report a case that treatment of blunt traumatic liver injury accompanied by intrahepatic portal vein injury through portal vein embolization. A 29-year-old female patient was transferred to our trauma center for vehicular accident injuries.