DOI: https://doi.org/10.36347/sjams.2026.v14i03.008

Pages: 362-364

Introduction: Severe liver trauma represents the leading cause of mortality in abdominal injuries. Its management relies on close collaboration among multiple specialists. The aim of this study was to determine the prognostic factors of severe liver trauma by analyzing epidemiological, diagnostic, therapeutic, and outcome data in order to improve patient management strategies. Materials and Methods: We conducted a retrospective study including 23 cases of severe hepatic trauma admitted to the Surgical Emergency Critical Care Department of Ibn Rochd University Hospital Center in Casablanca over a three-year period (January 2017 to December 2019). Results: At the end of our study, prognosis was found to depend on several parameters, notably: initial oxygen saturation (SpO₂), initial systolic blood pressure, Glasgow Coma Scale score, use of vasopressors, hemoglobin level at admission, and the presence of massive hemoperitoneum. Conclusion: Severe hepatic trauma represents a major component of visceral surgical emergencies due to its severity and high mortality rate, requiring multidisciplinary management.