Introduction: Severe liver injuries are associated with high mortality due to pre-and intraoperative hemorrhage or postoperative complications such as sepsis and shock. Within the management, packing, Pringle maneuver, hemostatic agents, suture, finger fracture and omental patch have been described as accepted techniques, but they often fail to provide their objective when they are severe or central. Objective: Describe clinical cases of traumatic liver injuries managed with intraparen-chymal tamponade. Materials and Methods: 5 clinical cases of hepatic transfixing lesions managed with intraparenchymal tamponade with a Sengstaken-Blakemore balloon are reported. Results: All cases progressed satisfactorily, with removal of the balloon between the third and sixteenth day. In our series, only one patient had a postoperative biliary fistula, which resolved spontaneously. Discussion: Despite the great variety of techniques described, there is still no definitive consensus. The intrahepatic balloon plug method has proven to be effective in controlling hepatic hemorrhage and reducing mortality, which is why this alternative is considered viable in any center for the treatment of hepatic transfixing injury.