Blunt hepatic trauma due to motorcycle collision with damage control surgery

Case Report

Abstract

This study has a unique relevance in the context of emergency medicine in Brazil, standing out for its early and effective approach to the management of traumatic injuries resulting from automobile accidents. In contrast to other approaches, the originality of this work lies in the use of FAST (Focused Assessment with Sonography for Trauma) ultrasound as a tool for the immediate identification of internal bleeding in trauma patients, allowing rapid and precise intervention. This work reports the case of a patient involved in a motorcycle-motorcycle collision, with symptoms of lower back and abdominal pain. The early detection of a massive hemoperitoneum using FAST US led to the prompt indication of Exploratory Laparotomy, revealing a liver lesion as the source of the hemorrhage. Furthermore, the adoption of the damage control technique demonstrates a strategic and innovative surgical approach, aiming to stabilize the patient before a more definitive intervention. Carrying out pre- and post-operative laboratory tests, together with computed tomography monitoring, not only highlighted the effectiveness of the implemented treatment but also the importance of continuous monitoring to ensure hemodynamic stability and the patient's recovery. In summary, this study not only contributes to the growing literature on abdominal trauma and its management but also offers valuable insights into the practical application of innovative diagnostic and therapeutic approaches, thus promoting significant advances in trauma patient care in the Brazilian context.