Had a very interesting case this week
64/F, h/o trauma to right upper abdomen
CECT s/o Grade III/IV liver injury to right posterior sector (Segment 6, 7 and 8)
patient had persistent fall in Hb inspite of transfusion and was becoming hemodynamically unstable
taken up for surgery
Intra-op she had
Grade IV injury to right posterior sector (Seg 6 & 7)
Transected Right hepatic vein at sector 6 / sector 7 junction
lacerated right portal vein
lacerated right posterior sectoral bile duct
underwent
Right posterior sectorectomy of segment 6 and 7 with control of Hepatic vein / portal vein / bile duct of segment 6 & 7
Extubated and started normal feed by POD1
ambulated and to be discharge on POD4
