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Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report

Liver injury, especially caudate lobe injury, is an extremely rare form of injury in infants. In most cases, liver injury results in intraperitoneal hemorrhage when the capsule is ruptured, and circulatory dynamics deteriorate early. Caudate lobe injuries, however, often present with a high retroper...

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Autores principales: Imamoto, Toshiro, Sawano, Makoto, Ueta, Ikuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9413369/
https://www.ncbi.nlm.nih.gov/pubmed/36042986
http://dx.doi.org/10.7759/cureus.27327
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author Imamoto, Toshiro
Sawano, Makoto
Ueta, Ikuya
author_facet Imamoto, Toshiro
Sawano, Makoto
Ueta, Ikuya
author_sort Imamoto, Toshiro
collection PubMed
description Liver injury, especially caudate lobe injury, is an extremely rare form of injury in infants. In most cases, liver injury results in intraperitoneal hemorrhage when the capsule is ruptured, and circulatory dynamics deteriorate early. Caudate lobe injuries, however, often present with a high retroperitoneal hematoma. The diagnosis is difficult to identify with a focused assessment with sonography for trauma (FAST) in the initial treatment of trauma and may even be delayed without contrast-enhanced CT imaging. A one-month-old postoperative boy with congenital heart disease was involved in a motor vehicle accident and presented with a single caudate lobe injury. He was not wearing a seatbelt, and it was thought that the caudate lobe was injured due to shearing forces in the cephalocaudal direction at the time of the accident. The patient did not go into shock when he first came to our hospital, but a few hours after admission, he went into shock and required surgical hemostasis. The postoperative course was good, and the patient was discharged alive one month later. The lesson to be learned from this case is that caudate lobe injuries are often associated with retroperitoneal hematoma and slow deterioration of hemodynamics, so it is important not to miss small changes in the child's vitals and to be willing to perform contrast-enhanced CT imaging depending on the type of injury.
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spelling pubmed-94133692022-08-29 Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report Imamoto, Toshiro Sawano, Makoto Ueta, Ikuya Cureus Emergency Medicine Liver injury, especially caudate lobe injury, is an extremely rare form of injury in infants. In most cases, liver injury results in intraperitoneal hemorrhage when the capsule is ruptured, and circulatory dynamics deteriorate early. Caudate lobe injuries, however, often present with a high retroperitoneal hematoma. The diagnosis is difficult to identify with a focused assessment with sonography for trauma (FAST) in the initial treatment of trauma and may even be delayed without contrast-enhanced CT imaging. A one-month-old postoperative boy with congenital heart disease was involved in a motor vehicle accident and presented with a single caudate lobe injury. He was not wearing a seatbelt, and it was thought that the caudate lobe was injured due to shearing forces in the cephalocaudal direction at the time of the accident. The patient did not go into shock when he first came to our hospital, but a few hours after admission, he went into shock and required surgical hemostasis. The postoperative course was good, and the patient was discharged alive one month later. The lesson to be learned from this case is that caudate lobe injuries are often associated with retroperitoneal hematoma and slow deterioration of hemodynamics, so it is important not to miss small changes in the child's vitals and to be willing to perform contrast-enhanced CT imaging depending on the type of injury. Cureus 2022-07-27 /pmc/articles/PMC9413369/ /pubmed/36042986 http://dx.doi.org/10.7759/cureus.27327 Text en Copyright © 2022, Imamoto et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Imamoto, Toshiro
Sawano, Makoto
Ueta, Ikuya
Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report
title Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report
title_full Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report
title_fullStr Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report
title_full_unstemmed Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report
title_short Infant Caudate Lobe Injury With Retroperitoneal Hematoma: A Case Report
title_sort infant caudate lobe injury with retroperitoneal hematoma: a case report
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9413369/
https://www.ncbi.nlm.nih.gov/pubmed/36042986
http://dx.doi.org/10.7759/cureus.27327
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