A starry night: a case report of severe liver injury due to a close-range shotgun blast in Argentina.

Rodrigo Antonio Gasque, José Gabriel Cervantes, Magalí Chahdi Beltrame, Marcelo Enrique Lenz-Virreira, Emilio Gastón Quiñonez
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Abstract

This report presents the case of a 20-year-old man who sustained a severe liver injury from a closerange shotgun blast. A prompt medical intervention, including damage control exploratory laparotomy and surgical debridement, was undertaken due to the extent of liver damage. Despite challenges such as a nondirected biliary fistula and extensive liver parenchymal injury, comprehensive surgical management led to successful treatment. Postoperative complications, including biloma and fungal infection, were managed appropriately, highlighting the importance of vigilant follow-up care. The case underscores the complexity of managing severe liver trauma and emphasizes the evolving role of trauma damage control strategies and minimally invasive procedures in achieving favorable outcomes.

星光灿烂的夜晚:阿根廷近距离霰弹枪爆炸导致严重肝损伤的病例报告。
本报告介绍了一名 20 岁男子因近距离霰弹枪爆炸导致严重肝损伤的病例。由于肝损伤程度严重,医生迅速采取了医疗干预措施,包括损伤控制探查性开腹手术和外科清创术。尽管出现了非定向胆道瘘和广泛的肝实质损伤等难题,但全面的手术管理使治疗取得了成功。术后并发症,包括胆汁瘤和真菌感染,都得到了妥善处理,突出了警惕性随访护理的重要性。该病例凸显了处理严重肝创伤的复杂性,并强调了创伤损伤控制策略和微创手术在取得良好疗效方面不断发展的作用。
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