Laparoscopic management of penetrating liver trauma: a safe intervention for hemostasis

We describe the case of a 48-year-old woman who underwent emergent diagnostic and therapeutic laparoscopy after sustaining two self-inflicted abdominal stab wounds. After evacuation of approximately 1.5 L hemoperitoneum, a through-and-through liver injury with active bleeding was locally packed with...

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Bibliographic Details
Published inJournal of laparoendoscopic & advanced surgical techniques. Part A Vol. 17; no. 2; p. 219
Main Authors Cui, Hongyi, Luckeroth, Patricia, Peralta, Ruben
Format Journal Article
LanguageEnglish
Published United States 01.04.2007
Subjects
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Female
Hemoperitoneum - drug therapy
Hemoperitoneum - etiology
Hemoperitoneum - surgery
Hemostatics - therapeutic use
Humans
Laparoscopy
Liver - injuries
Liver - surgery
Middle Aged
Schizophrenia - complications
Self-Injurious Behavior - etiology
Wounds, Stab - complications
Wounds, Stab - surgery
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Summary:We describe the case of a 48-year-old woman who underwent emergent diagnostic and therapeutic laparoscopy after sustaining two self-inflicted abdominal stab wounds. After evacuation of approximately 1.5 L hemoperitoneum, a through-and-through liver injury with active bleeding was locally packed with hemostatic agents (Surgicel and Avitene) to achieve successful hemostasis. The patient also underwent systematic exploration of the abdominal cavity, which was free of associated injury. She had an uneventful recovery. This case adds to the growing evidence supporting the role of therapeutic laparoscopy in the safe management of carefully selected stable patients with penetrating abdominal trauma.
ISSN:1092-6429
DOI:10.1089/lap.2006.0045