A 25-year-old patient undergoes road traffic injury. BP = 130/80 and pulse = 92/min good volume. Patient complains of upper abdominal pain. CECT is as shown as. The next line of management is?
Ans. (a) Conservative.The following protocol for liver trauma is followed: Blunt abdominal trauma* Hemodynamic stability at admission or after two blood units transfusion* No signs of peritonitis | Abdominal US|| |Free intraperitioneal fluidNo free intraperitioneal fluid||Abdominal CTU/S* Only hepatic injury* Solid visceral injuries* Without hollow viscera sign of injury* Abdominal pain* Fracture of the lower ribs-Yes- | No |Reliable physical examination-No Observation | | Yes Hollow viscus injury is suspected? | | | No operative management-No Yes | | Operative management
Conservative
Exploratory laparotomy and packing
Exploratory laparotomy and hepatectomy
Exploratory laparotomy with hepatic artery ligation.
Abdominal Radiography