Modern approach to post-traumatic hepatic hematoma – US guided percutaneus drainage

Subcapsular and intraparenchymatous hepatic hematomas (HH) raise special management problems due to parenchymatous associated lesions. Despite intense and rapid liver regeneration, this process is affected by the presence of the bile. Therefore the nonoperative management determines a weak and slow healing. The drainage of the fluid (biliohepatic collection), by surgical hepatostomy or percutaneous drainage, promotes optimal cure. Laparotomy with surgical solutioning of the HH is a method associated with important morbidity and mortality, but percutaneous transhepatic US guided drainage represents a minimal inva…