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At laparotomy, 2 L of blood was drained from the abdomen but no source of active bleeding identified. 30\u2009minutes after closure of the abdomen, 500\u2009mL of fresh blood was noted in the drain so he was returned to the theatre where the bleeding source was found to be\u2014after manual compression of a mildly bruised hepatoduodenal ligament\u2014the proper hepatic artery (PHA). This case describes an unusual finding at relaparotomy and shows that even when there is no active bleeding from abdominal organs or classified vessels, it is possible to have isolated injury to PHA.<\/jats:p>","DOI":"10.1136\/bcr-2019-230706","type":"journal-article","created":{"date-parts":[[2019,9,19]],"date-time":"2019-09-19T07:25:24Z","timestamp":1568877924000},"page":"e230706","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Traumatic bruising of the hepatoduodenal ligament can conceal a catastrophic injury to the hepatic artery"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5649-9240","authenticated-orcid":false,"given":"Adam Daniel","family":"Gerrard","sequence":"first","affiliation":[{"name":"Department of General Surgery, Aintree University Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raimundas","family":"Lunevicius","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aintree University Hospital NHS Foundation Trust, Liverpool, UK"},{"name":"School of Medicine, University of Liverpool, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Heavey","sequence":"additional","affiliation":[{"name":"Aintree University Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,18]]},"reference":[{"key":"2025082701041566000_12.9.e230706.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198005000-00017"},{"key":"2025082701041566000_12.9.e230706.2","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1097\/00005373-199509000-00005","article-title":"Portal triad injuries","volume":"39","author":"Jurkovich","year":"1995","journal-title":"J Trauma"},{"key":"2025082701041566000_12.9.e230706.3","unstructured":"Fabian TC , Bee TK . 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