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Titolo:
ACUTE DISTURBANCE OF THE LIVER CIRCULATIO N DUE TO BLUNT ABDOMINAL-TRAUMA - IS IT A COMPARTMENT SYNDROME
Autore:
PETRI A; SANDOR L; ADAM E; BOZO A;
Indirizzi:
ALBERT SZENT GYORGYI MED UNIV,SURG CLIN,POSTBOX 464 H-6701 SZEGED HUNGARY
Titolo Testata:
Der Unfallchirurg
fascicolo: 12, volume: 96, anno: 1993,
pagine: 625 - 627
SICI:
0177-5537(1993)96:12<625:ADOTLC>2.0.ZU;2-H
Fonte:
ISI
Lingua:
GER
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
A. Petri et al., "ACUTE DISTURBANCE OF THE LIVER CIRCULATIO N DUE TO BLUNT ABDOMINAL-TRAUMA - IS IT A COMPARTMENT SYNDROME", Der Unfallchirurg, 96(12), 1993, pp. 625-627

Abstract

Authors describe the case of a 37-year-old female patient who had been operated on for a subcapsular haematoma of the liver that had developed following a blunt abdominal trauma. This manifested as a Budd-Chiari syndrome-like phenomenon that was not recognized until an exploratory operation was performed, when we found that the liver was hard and dark purple in colour and there was considerable ascites in the abdominal cavity. After aspiration of the haematoma, which contained about 11 of a mixture of fluid and clotted blood, the circulation of the liver rapidly improved. On the basis of the findings, a posttraumatic Budd-Chiari syndrome seems unlikely, since the symptoms caused by the risein intracapsular pressure are similar to those of a compartment syndrome. No literature data can be found to define such a posttraumatic failure of the liver circulation. Subcapsular and intrahepatic haematomata can be successfully monitored by ultrasonography and managed conservatively if they are asymptomatic. Operation is restricted to lesions with worsening symptoms or increasing danger of haemorrhage.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 11:46:06