Diffuse Parenchymal Oozing in Surgery — 32yo Man | General Surgery | SMLE Q#11735
SMLE Question #11735
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 32-year-old man is brought after a high-speed motor vehicle collision and undergoes emergent exploratory laparotomy for intra-abdominal hemorrhage. Despite massive transfusion and ongoing resuscitation, he remains in shock. Exploration shows multiple deep lacerations involving both lobes of the liver with diffuse parenchymal oozing and several active bleeding surfaces; rapid individual vessel control is difficult, and there is no major hepatic pedicle injury. What is the most appropriate next step in management to control the liver bleeding?
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