Hepatic haematoma following blunt injury: non-operative management

Four patients with multiple injuries including suspected closed hepatic injury are described, all of whom needed resuscitation in the Intensive Care Unit. All 4 had local signs suggesting hepatic injuries, but no evidence of generalized intraperitoneal bleeding.They were carefully monitored clinically, and the suspected diagnosis of hepatic haematoma was confirmed by ultrasound scanning and follow-up with repeated scans until complete resolution occurred. All made a satisfactory recovery and are well and asymptomatic, except for one patient who has residual orthopaedic disabilities.