Although nonoperative management is opted nowadays over operative treatment, in high grades liver trauma, the patients should be closely monitored by US examinations to allow early detection of changes indicating the development of possible late complications. When such signs are detected, angiography may allow early nonoperative treatment and possibly prevent late bleeding. Patients should not be discharged before the pathological US imaging signs of damage are stabilized. Consent Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the LY2874455 chemical structure Editor-in-Chief of

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LH, Knudson MM, Esrig B, Ross S, Hoyt D, Cogbill T, Sherman H, Scalea T, Harrison P, Shackford S, Ochsner GM, Mucha P, Hofstetter S, Guth A, Coffey S, Kataju S, Marburger R, Garcia J, Savage B, Henry S, Lippold D, Trevesani G, Steinig J: Status of nonoperative Astemizole management of Blunt Hepatic Injuries in 1995: A Multicenter Experience with 404 Patients. J Trauma 1996, 40:31–38.PubMedCrossRef 8. Goettler CE, Stallion A, Grisoni ER, Dudgeon DL: Delayed Hemorrhage after Blunt Hepatic Trauma: Case Report. J Trauma 2002, 52:556–559.PubMedCrossRef AZD1480 concentration competing interests The authors declare that they have no competing interests. Authors’ contributions All authors except AC were involved in the preoperative and postoperative care of the patient. UA is the primary author and reviewed the case and the literature. OAH participated in the surgeries and provided editorial commentary. AC performed the angiography treatment. DK performed the surgeries and was involved in the writing and editing the paper.