Role of postoperative computed tomography in patients with severe liver injury

D. Demetriades, M. Karaiskakis, K. Alo, G. Velmahos, J. Murray, Juan A. Asensio

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: The role of postoperative computed tomography (CT) in asymptomatic patients with severe liver injury has not been investigated. The aim of the present study was to investigate the nature and incidence of significant liver-related abnormalities detected by postoperative CT in asymptomatic patients with severe liver injury. Methods: This was a prospective study of survivors with severe liver injury (grades III-V) who were treated surgically. The patients underwent CT to evaluate the liver after operation, irrespective of symptoms. Results: During the study interval there were 181 patients with severe liver injury, of whom 49 fulfilled the criteria for inclusion. The overall incidence of liver-related complications detected by CT was 49 per cent (necrotic areas in the liver in seven patients, seven bilomas, four abscesses, three perihepatic collections and three false aneurysms). In the subgroup of 17 asymptomatic patients CT revealed four abnormalities: two large bilomas, one false aneurysm and one fluid collection. Two of these patients required therapeutic intervention and the other two remained under observation. Conclusion: In view of the incidence of asymptomatic significant liver abnormalities following operative management of severe liver injury, it is recommended that these patients undergo routine postoperative CT.

Original languageEnglish
Pages (from-to)1398-1400
Number of pages3
JournalBritish Journal of Surgery
Volume90
Issue number11
DOIs
StatePublished - Nov 2003
Externally publishedYes

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Tomography
Liver
Wounds and Injuries
False Aneurysm
Incidence
Abscess
Survivors
Observation
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Surgery

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Role of postoperative computed tomography in patients with severe liver injury. / Demetriades, D.; Karaiskakis, M.; Alo, K.; Velmahos, G.; Murray, J.; Asensio, Juan A.

In: British Journal of Surgery, Vol. 90, No. 11, 11.2003, p. 1398-1400.

Research output: Contribution to journalArticle

Demetriades, D, Karaiskakis, M, Alo, K, Velmahos, G, Murray, J & Asensio, JA 2003, 'Role of postoperative computed tomography in patients with severe liver injury', British Journal of Surgery, vol. 90, no. 11, pp. 1398-1400. https://doi.org/10.1002/bjs.4312
Demetriades, D. ; Karaiskakis, M. ; Alo, K. ; Velmahos, G. ; Murray, J. ; Asensio, Juan A. / Role of postoperative computed tomography in patients with severe liver injury. In: British Journal of Surgery. 2003 ; Vol. 90, No. 11. pp. 1398-1400.
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