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Adult Blunt Hepatic Trauma algorithm

Adult Blunt Hepatic Trauma Notes:
Introduction
Historic Perspective
Table 1 Note A  Note B Note C Note D Note E Note F Table 3 Note G Note H Note I Note J Note K Note L Note M Note N Note O  Note P References  

  

 
Western Trauma Association
Management of Adult Blunt Hepatic Trauma

 

Annotation for Point N

 

 Bile peritonitis, defined as peritoneal and systemic signs of inflammation, typically presents several days after injury. Patients develop systemic inflammatory response syndrome in response to devitalized liver tissue rather than sepsis.42 Although laparotomy remains an option, drainage can be safely and effectively performed by laparoscopy.28,43–45 Although these signs may prompt consideration of a missed bowel injury, the incidence is very low even in patients with high grade injuries.36

 

  
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