Delayed haemorrhage and pseudoaneurysms following liver trauma.
Background: Delayed Haemorrhage (DH) is a potential complication following liver trauma. Hepatic artery pseudoaneurysms (HAPAs) are also a frequently considered delayed complication of liver trauma, yet their incidence is rare. Furthermore, little is known about their natural history, with some obse...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 4; pp. 2823 - 2831 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158431688&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158431688 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Aug2022 vid: 48 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 158431688 155361980 158431688 158431688 10.1007/s00068-022-01889-z 158431688 ppf: 2823 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Delayed haemorrhage and pseudoaneurysms following liver trauma. aug: au: Henry, Luke Fischer, Nicholas affil: Department of General Surgery, Auckland City Hospital, 2 Park Road, Grafton, Private Bag 92024, Auckland, New Zealand sug: subj: Hemorrhage Risk Factors Aneurysm, False Risk Factors Liver Injuries Liver Diseases Complications Risk Assessment Trauma Complications Human Retrospective Design Matched Case Control Trauma Centers Descriptive Statistics Blood Transfusion Hemoglobins Blood Patient Admission Hemoperitoneum ab: Background: Delayed Haemorrhage (DH) is a potential complication following liver trauma. Hepatic artery pseudoaneurysms (HAPAs) are also a frequently considered delayed complication of liver trauma, yet their incidence is rare. Furthermore, little is known about their natural history, with some observed to resolve spontaneously. Some authors postulate that DH following liver trauma may in fact originate from HAPAs. Aim: To investigate the incidence of DH and HAPA following liver trauma, review subsequent management and explore a possible association between the two. Methods: A retrospective study of liver trauma over a 14 year period at a trauma centre, including a case–control analysis comparing patients with DH and HAPA to liver injury grade matched controls. Results: 450 patients were admitted with liver trauma of which 10 patients had DH (2.2%) and 7 HAPA (1.6%). Both DH and HAPA patients had significantly greater blood transfusion requirements, lower haemoglobin (Hb) levels and a greater Hb decrease compared to controls. No patient with an HAPA had a large volume of haemoperitoneum on imaging, and there were no patients in the clinical DH group with previous or concurrent HAPA identified, and no deaths in either group. Conclusion: DH and HAPA following liver trauma are rare. DH following liver trauma was not associated with HAPA on imaging. This study shows that HAPAs cause ongoing insidious bleeding and Hb decline, but we did not find evidence to support the commonly held perception of a risk of 'rupture' and catastrophic haemorrhage. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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