Unlike blunt liver trauma, penetrating liver trauma especially that secondary to projectiles has not seen a shift in emphasis from operative to nonoperative management. Surgical intervention is still the management of choice [
]. The reasons are: (i) a high likelihood of associated injuries and inability to accurately predict hollow viscus injury with noninvasive investigations; and (ii) inability to accurately predict the extent of parenchymal liver damage around the projectile track.
- Kundson M.M.
- Lim R.C.
- Olcott E.W.
Morbidity and mortality following major penetrating liver injuries.
Arch. Surg. 1994; 129: 256-261
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- Morbidity and mortality following major penetrating liver injuries.Arch. Surg. 1994; 129: 256-261
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Accepted: July 2, 1999
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.