الفهرس 
ANATOMY OF THE LIVEROnly 14 pages are availabe for public view
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Abstract
Tliver has relatively fixed position and large size these
make it more prone for injury in blunt trauma of the
abdomen followed by spleen. Liver and spleen together,
account for 75% of injuries in blunt abdominal trauma. Liver is
the most common cause of death following abdominal injury.
The management of blunt trauma abdomen is challenging.
In our study 20 patients with blunt hepatic trauma were
included in the study. They were classified according to their
vital stability into 2 groups; conservative (NOM) and
operative groups (OM).
Concerning the mechanism of liver injury, the most
frequent cause in the present study was traffic accidents.
The conservative group consisted of 16 patients while the
operative group was composed of 4 patients. Most of the
patients in the conservative group had low grade liver injury I,
II III while most of the patients in the operative group had
Grade III and IV liver trauma.
The need for blood transfusion was higher in the operative
group than the conservative group as (25%) of the total patients in
the conservative group and (75%) of total patients in the operative
group required blood transfusion. A higher rate of morbidity and
mortality during the course of management was found among the
patients of the operative group.So, the operative management of liver trauma is
associated with higher grade of injury, higher needs for blood
transfusion, a higher rate of further management, morbidity,
mortality and the presence of co-injuries.
There were two patients of grade IV liver injury one
managed surgically and the other managed conservatively. The
presences of co injuries don’t prevent non operative
management but should be considered a factor in operative
management.
Management of blunt liver trauma whether conservative
(NOM) or surgical (OM) depends on hemodynamic stability;
grade of liver injury; amount of blood loss and extravasation of
contrast dye and hemoperitoneum in CT findings.