Maša Kušar1, Jerica Novak2*, Mihajlo Đokić2 and Blaž Trotovšek2
1Department of General and Visceral Surgery, Klagenfurt Clinic, Klagenfurt Am Wörthersee, Austria
2Department of Abdominal Surgery, University Medical Centre Ljubljana, University of Ljubljana, Slovenia
Background: Liver transplantation can be offered to selected patients following sever liver trauma as a possible life-saving procedure after all other treatment modalities have been exhausted. Authors present a case of severe liver trauma followed by liver transplantation due to total liver necrosis as a result of initial damage-control surgery and embolization with literature review. Case Report: Compression of the right side of the body of a 64-year-old male resulted in hemodynamic instability due to major liver trauma and serial rib fracture. Damage-control surgery was unsuccessfully attempted at the regional hospital. After transfer to a tertiary centre embolization and definitive hemostasis was achieved. The patient developed acute liver failure and was transferred to a transplant centre where liver transplantation was successfully performed. Due to many complications patient died ten days after transplantation. Conclusion: There are no widely established guidelines for the selection of the patients after severe liver trauma for liver transplantation. When facing a critically injured patient with severe hepatic trauma, an early referral to a specialized centre, where liver transplantation could be offered, should be a priority.
Kušar M, Novak J, Đokić M, Trotovšek B. Liver Transplantation for Hepatic Trauma: Case Report and Literature Review. Clin Surg. 2021; 6: 3361..