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J Trauma Inj. 2014 Sep;27(3):84-88. Korean. Case Report.
Jang IS , Kim SH , Lee JE , Kim JW , Choi JY , Shin IW , Kim HO .
Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Jinju, Korea.
Department of Anesthesiology, Institute of Health Science, Gyeongsang National University, Jinju, Korea.
Internal Medicine, Health Science Institutes, Gyeongsang National University, Jinju, Korea.

The severity of blunt hepatic injury correlates with internal organ damage. We experienced a patient, who had an extensive crushed liver injury. The patient was a 28-year-old man, who was involved in a traffic accident in which a wheel ran over his right upper abdomen. A grade V severe hepatic laceration was diagnosed with computed tomography. His vital signs were stable, so we could wait for times with conservative management. Bile leakage led to biloma and bile spillage into the peritoneal space. Selective percutaneous drainage was needed to control the several biloma. After four months of conservative management, could the patient was discharged in good condition.

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