"The best is nothing": Non-operative management of hemodynamically stable grade V liver trauma

Contrast-enhanced computed tomography (CT scan with intravenous contrast) showed a large liver hematoma occupying a greater portion of the right lobe, with minimal amount of peritoneal free fluid, an active arterial blush and a large hematoma extending vertically, all around the Inferior Vena Cava in its retrohepatic tract, consistent with a contained venous bleeding from hepatic veins injury (American Association for the Surgery of Trauma grade V) [Figure 1].