PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jathtrainLink to Publisher's site
 
J Athl Train. 1995 Oct-Dec; 30(4): 324–326.
PMCID: PMC1318002

Liver Laceration in an Intercollegiate Football Player

Richard Ray, EdD, ATC
Richard Ray is Head Athletic Trainer and Associate Professor of Kinesiology at Hope College, Holland, MI 49423.

Abstract

Serious abdominal injuries in athletics, including liver trauma, are relatively rare. When they do occur, the athletic trainer and the team physician must be able to recognize the signs and symptoms and employ the appropriate first aid and follow-up care. In this paper, we present a case study of a football player who suffered a lacerated liver as a result of a forceful blow to the right side of the chest. Although his case was typical of most isolated liver injuries and he did not experience massive internal bleeding, the potential for life-threatening exsanguination exists and must be recognized by by sports health care practitioners. Most isolated liver injuries can be treated nonsurgically. However, those patients with multiple organ trauma, deteriorating vital signs, or diminishing hemodynamic stability generally require immediate surgery. Athletes with persistent right upper quadrant pain, especially when accompanied by referred pain to the right shoulder, abdominal rigidity, guarding, or rebound pain should be considered to have a liver injury until ruled out by CT scan and liver enzyme studies. Our subject was typical of most athletic liver patients and he was able to resume light exercise after 5 weeks and full activity after 3 months.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (682K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Barton RG, Cerra FB. Initial management of trauma. The next 60 minutes. Postgrad Med. 1990 Oct;88(5):95–102. [PubMed]
  • Bergqvist D, Hedelin H, Karlsson G, Lindblad B, Mätzsch T. Abdominal injury from sporting activities. Br J Sports Med. 1982 Jun;16(2):76–79. [PMC free article] [PubMed]
  • Bergqvist D, Hedelin H, Karlsson G, Lindblad B, Mätzsch T. Abdominal trauma during thirty years: analysis of a large case series. Injury. 1981 Sep;13(2):93–99. [PubMed]
  • Bergqvist D, Hedelin H, Lindblad B, Mätzsch T. Abdominal injuries in children: an analysis of 348 cases. Injury. 1985 Jan;16(4):217–220. [PubMed]
  • Cywes S, Rode H, Millar AJ. Blunt liver trauma in children: nonoperative management. J Pediatr Surg. 1985 Feb;20(1):14–18. [PubMed]
  • DeMaria EJ. Management of patients with indeterminate diagnostic peritoneal lavage results following blunt trauma. J Trauma. 1991 Dec;31(12):1627–1631. [PubMed]
  • Disler DG, Deluca SA. Traumatic rupture of the diaphragm and herniation of the liver. Am Fam Physician. 1992 Aug;46(2):453–456. [PubMed]
  • Hiatt JR, Harrier HD, Koenig BV, Ransom KJ. Nonoperative management of major blunt liver injury with hemoperitoneum. Arch Surg. 1990 Jan;125(1):101–103. [PubMed]
  • Kane NM, Cronan JJ, Dorfman GS, DeLuca F. Pediatric abdominal trauma: evaluation by computed tomography. Pediatrics. 1988 Jul;82(1):11–15. [PubMed]
  • Läckgren G, Lörelius LE, Olsen L, Wassén C. Hemobilia in childhood. J Pediatr Surg. 1988 Feb;23(2):105–108. [PubMed]
  • Lerut J, Vauthey N, Triller J, Gertsch P, Schweizer W. Intrahepatic arterioportal fistula following conservative treatment of a traumatic liver rupture: case report. J Trauma. 1992 Nov;33(5):760–764. [PubMed]
  • MacGillivray DC, Valentine RJ. Nonoperative management of blunt pediatric liver injury--late complications: case report. J Trauma. 1989 Feb;29(2):251–254. [PubMed]
  • Moon KL, Jr, Federle MP. Computed tomography in hepatic trauma. AJR Am J Roentgenol. 1983 Aug;141(2):309–314. [PubMed]
  • Stricker PR, Hardin BH, Puffer JC. An unusual presentation of liver laceration in a 13-yr-old football player. Med Sci Sports Exerc. 1993 Jun;25(6):667–672. [PubMed]
  • WILSON DH. Incidence, aetiology, diagnosis, and prognosis of closed abdominal injuries. A study of 265 consecutive cases. Br J Surg. 1963 Jan;50:381–389. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association