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CARDIOVASCULAR ANESTHESIA

Transesophageal Echocardiographic Diagnosis of a Liver Laceration Accompanied by Hemodynamic Instability

From the Department of Anesthesiology, Medical College of Ohio, Toledo, Ohio

Address correspondence and reprint requests to James P. Hofmann, MD, Assistant Professor, Department of Anesthesiology, Medical College of Ohio, 3000 Arlington, Toledo, OH 43614–2598. Address email to Jhofmann{at}mco.edu

Transesophageal echocardiography (TEE) is a useful adjunct in the evaluation of trauma patients, particularly in the area of aortic injury and cardiac tamponade. Little has been written on the use of this modality in the evaluation of extra-cardiac injury. We present a case of a trauma patient in whom TEE was used to evaluate hemodynamic instability; during the course of the examination a previously undiagnosed liver laceration was identified.

We report the diagnosis of a liver laceration in a trauma patient by novel use of the transesophageal echocardiographic imaging modality.

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				Y. J. Oh, J. Y. Kim, and Y. L. Kwak Solitary Liver Mass Detected by Transesophageal Echocardiography Anesth. Analg., August 1, 2005; 101(2): 328 - 329. [Abstract] [Full Text] [PDF]