الفهرس 
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Abstract
The liver is the most frequently injured abdominal organ, despite its relatively protected location. Management of liver injuries has changed significantly over the last two decades with significant improvement in outcomes.
The Mechanisms of injury is usually in the form of Road traffic accidents and antisocial violent behavior account for the majority of liver injuries. Industrial and farming accidents also account for a significant number. There is an interesting difference in incidence throughout the world, with penetrating injuries (gunshot and stab wounds) accounting for the majority in North America and South Africa and blunt injuries representing the majority in Europe , Australasia and middle east.
The aim of this work is to evaluate the possibilities and limitations of using conservative methods of management of patients with liver trauma, and correlating these variables to the available local resources and circumstances.
In this study, inclusion exclusion criteria states that the patient should be vitally stable or respond to initial resuscitation attempt in the E.R. and not to have signs of peritonitis. So we discarded all the patients who did not respond to initial resuscitation attempt in the E.R. and those with signs of peritonitis.
During our study, 100 patients were enrolled into the study, 91 males (91 %) and 9 females (9 %). Their age ranged from 2 to 60 years. Ninety-seven patients had sustained blunt trauma, 82 of them had a road traffic accident, 7 from fall of heavy object on the abdomen, five from a horse kick, and three from a fall from a height. On the other hand, three complained of penetrating trauma (stab abdomen).
Twenty-eight patients were in shock when they first arrived to the emergency room. The cause of shock in thirteen of them was related to the hepatic cause; in fifteen, the cause of shock was uncertain, owing to multiple sources of bleeding; in seventy two, patients were stable when they arrived to the emergency room.