Grade IV Liver Injury Following Mechanical Cardiopulmonary Resuscitation with Postoperative Three-dimensional Evaluation.
Case report
emergency setting
liver trauma
mechanical cardiopulmonary resuscitation
virtual reality
Journal
Journal of emergencies, trauma, and shock
ISSN: 0974-2700
Titre abrégé: J Emerg Trauma Shock
Pays: India
ID NLM: 101493921
Informations de publication
Date de publication:
Historique:
received:
09
03
2020
revised:
03
05
2020
accepted:
19
05
2020
entrez:
26
4
2021
pubmed:
27
4
2021
medline:
27
4
2021
Statut:
ppublish
Résumé
A 48-year-old female presented to the emergency department with chest pain and collapsed at the front desk. She was reanimated with mechanical chest compression, and after coronary angiography, a left anterior descending/diagonal bifurcation mini-crush stenting was performed. Few hours after the procedure, the patient showed severe hypotension. Abdominal ultrasound and computed tomography (CT) scan evidenced a massive subcapsular liver hematoma (Grade IV, American association for the surgery of trauma (AAST) liver injury scale) of the right lobe with extrahepatic blushing. Transhepatic embolization was attempted but without benefit, so the patient underwent emergency laparotomy for damage control surgery with perihepatic packing. After hemodynamic stabilization, right hepatectomy was performed with a favorable outcome and full recovery. The patient CT scan was retrospectively processed to obtain a virtual model visualizable through a head-mounted display. The virtual reconstruction could improve the comprehension of the injury and the liver surgical anatomy for educational purpose, and it could represent a new tool for preoperative planning.
Identifiants
pubmed: 33897149
doi: 10.4103/JETS.JETS_28_20
pii: JETS-13-306
pmc: PMC8047959
doi:
Types de publication
Case Reports
Langues
eng
Pagination
306-308Informations de copyright
Copyright: © 2020 Journal of Emergencies, Trauma, and Shock.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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