Abstract
Traumatic liver injury is prevalent and has high rates of morbidity and mortality. The therapeutic approach varies according to the characteristics of the lesion and the patient's clinical parameters. Liver injuries are classified into six degrees of severity, which help in the therapeutic decision. Low-grade liver injuries (grades I, II and III) are often successfully treated by non-surgical management. This article sought to report the case of a 52-year-old male patient with a history of blunt abdominal trauma after a car accident, admitted initially stable to the emergency room. It evolved after a few hours, however, with hemodynamic instability, and emergency laparotomy was indicated. The patient had grade II liver damage, which, however, is usually managed with non-operative treatment. Surgical treatment evolved with good recovery of the patient, who was discharged after twelve days. Therefore, it is essential to strictly monitor the evolution of the patient with liver trauma in order to choose the best therapeutic approach.