Liver trauma

Liver trauma refers to injury sustained by the liver, often due to blunt force or penetrating trauma to the abdomen. As the largest internal organ, the liver is highly susceptible to such injuries, which can range from minor contusions and lacerations to severe ruptures, leading to significant internal bleeding. Early and accurate diagnosis of liver trauma is critical in medical settings, especially in emergency and trauma cases, to prevent life-threatening complications like hemorrhagic shock.

In abdominal ultrasound, liver trauma is assessed by looking for free fluid (hemoperitoneum) around the liver and other abdominal organs, and by directly visualizing liver parenchyma for hematomas or lacerations. Ultrasound offers a rapid, non-invasive bedside tool for initial evaluation, guiding further diagnostic steps and immediate patient management.

Clinical Author

Bruno Vargas is originally from Mexico City. He first trained as an Emergency Medical Technician at la Universidad Panamericana (UP) before starting medical school at la Universidad Nacional Autónoma de México (UNAM) in Mexico City. Later he did his social service year in the Sierra Madre of Chiapas with Partners in Health Mexico/Compañeros en Salud (CES) in 2019, where he was trained in Global Health, social medicine, and introduced to Point of Care Ultrasound (POCUS). At that moment while working in a resource-limited setting he became passionate about POCUS. He graduated as a general practitioner, and afterward stayed with CES during the pandemic as part of the COVID-19 task force, training community healthcare workers and “pasantes” (first-year doctors doing their year of social service). He finished the Ultrasound Leadership Academy (ULA) fellowship and has started a POCUS training program at his site with midwives, nurses, doctors, and trainees from these areas. He is currently doing a Global Health Fellowship with HEAL as a site fellow in Chiapas with CES. He has committed to a lifelong career in global health providing healthcare access to the most marginalized communities. He has a profound respect and admiration for nature and loves any kind of outdoor activities, especially bicycling, high mountain, and scuba-diving.

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