The liver is located in the right upper abdomen, just below the ribcage. Its tissue is friable (delicate) and it may rarely be ruptured by a blow to this area.

Cause

• Trauma to right upper abdomen

Presentation

• Severe abdominal pain
• Nausea
• Vomiting
• Light-headedness
• Fainting
• Drowsiness
• Abdominal distension (swelling)

Diagnosis

• CT scan

Management

• Transfer to hospital immediately
• Minor liver injuries can be controlled with rest and observation in hospital
• Large liver ruptures may require an operation