A 50-year-old man is hemodynamically stable after blunt abdominal trauma. CT shows a grade II liver laceration (parenchymal laceration 1 to 3 cm deep, subcapsular hematoma 10 to 50% surface area) without active extravasation. What is the most appropriate management?

• A Angioembolization
• B Exploratory laparotomy
• C Packing and damage control laparotomy
• D Non-operative management with observation ✓

Explanation

Grade I to III liver lacerations in hemodynamically stable patients without active extravasation are managed non-operatively with close observation. Success rates exceed 90% for low-grade injuries. Angioembolization is reserved for active contrast extravasation on CT. Operative management is indicated for hemodynamic instability or failed non-operative management.

Reference: Trauma, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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