Case Report: Nonoperative management of traumatic dual-vessel hepatic infarction - Report - MDSpire

Case Report: Nonoperative management of traumatic dual-vessel hepatic infarction

  • By

  • Rami Madani

  • David M. Richter

  • Yaqub Ahmedfiqi

  • John Henriquez

  • Robert G. Sawyer

  • June 1, 2026

  • 0 min

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Clinical Report: Conservative Treatment of Traumatic Dual-Vessel Hepatic Infarction

Overview

This report details a rare case of dual-supply hepatic infarction in a postpartum woman following blunt abdominal trauma. The patient was managed conservatively.

Background

Hepatic infarction is characterized by localized liver cell death due to disrupted blood flow, often presenting with nonspecific symptoms that can overlap with other hepatic disorders in postpartum women. The occurrence of dual-vessel occlusion is rare and typically associated with iatrogenic causes.

Data Highlights

No numerical data or trial data available in the source material.

Key Findings

  • The patient developed dual-supply hepatic infarction three weeks post-cesarean section after blunt abdominal trauma.
  • Diagnosis was confirmed through radiological imaging, specifically a contrast-enhanced CT scan.
  • The patient was managed conservatively with close monitoring, correction of coagulopathy, and early anticoagulation.
  • Liver enzymes normalized, and follow-up imaging showed complete resolution of the infarction.

Clinical Implications

This case suggests that conservative management, including anticoagulation, may be effective in treating traumatic dual-supply hepatic infarction, potentially avoiding the need for surgical intervention. Clinicians should consider this approach in similar cases, especially in postpartum patients.

Conclusion

The management of this case highlights the need for careful monitoring in traumatic liver injuries.

Related Resources & Content

  1. Ischemic Hepatitis - Hepatology - MSD Manual Professional Edition, 2024 -- Ischemic Hepatitis
  2. JT_231086 123..128, Western Trauma Association, 2024 -- Adult blunt hepatic injury: A Western Trauma Association critical decisions algorithm
  3. Journal of Gastrointestinal Surgery — Urgent Orthotopic Liver Transplantation Due to Hemorrhage from a Large Cavernous Hepatic Hemangioma: A Case Study and Literature Review
  4. Endovascular Recanalization through the Ascending Cervical Artery for Occlusion of Non-Conical Stump Vertebral Artery: A Case Study
  5. Utilization of Left Renal Vein Graft and In Situ Hepatic Perfusion During Hepatectomy for Tumors Invading Hepatic Veins: Enhancing Hemodynamics and Surgical Approach
  6. Endovascular Recanalization with Distal Protection for Symptomatic Chronic Occlusions of the Vertebrobasilar Artery
  7. Ischemic Hepatitis - Hepatology - MSD Manual Professional Edition
  8. JT_231086 123..128
  9. Management of portal vein thrombosis in cirrhosis patients - American Gastroenterological Association

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