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The treatment of liver injuries is a special challenge for surgeons. We have modern treatment techniques, but severe liver injuries still represent a high percentage of the overall mortality rates. Blunt trauma in motor vehicle accidents is the most common cause of liver injury. Its clinical picture depends on the degree of injury and the number of any other, associated injuries. Patients with severe liver injury and bleeding need resuscitation, fast and effective diagnosis and a correct decision regarding conservative or surgical treatment. The article presents a report on patients with liver injuries treated at the Department of Abdominal Surgery, University Medical Centre Ljubljana, during the period from 1 January 1998 until 31 December 2009.