Concealed left hepatic artery injury with liver trauma

• Published in: Journal of Clinical and Scientific Research Vol. 12; no. 3; pp. 223 - 226
• Main Authors: Joy, Rejana, Valsalan, Abhijith, Kavalakat, Alfie, Kuriakose, Aneesh, Suresh, Mayyattil
• Format: Journal Article
• Language: English
• Published: Wolters Kluwer India Pvt. Ltd 01.07.2023; Medknow Publications and Media Pvt. Ltd; Wolters Kluwer Medknow Publications
• Subjects: Abdomen; Care and treatment; Case studies; concealed hepatic artery injury; Development and progression; Injuries; isolated hepatic artery injury; Liver diseases; liver trauma; India; Concealed hepatic artery injury; liver trauma; isolated hepatic artery injury
• ISSN: 2277-5706; 2277-8357
• DOI: 10.4103/jcsr.jcsr_28_22

Injury to the liver accounts for 3%-10% of blunt abdominal trauma injuries. Majority of these injuries are currently managed nonoperatively. Hepatic artery or portal triad injuries are less frequent. However, the mortality rates with portal triad injuries and with combined injuries are high. Hence, identifying these injuries are important to the trauma team to proceed with optimal management. We present the case of a patient with concealed hepatic artery injury with liver trauma who was managed by laparotomy and vessel repair. We highlight the importance of recognising the clinical and radiological signs that indicate the possibility of hepatic artery injuries. This case report aims at improving awareness of hepatic artery injuries that may occur alone or in association with liver injuries and their management.