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Biliary Complications after Hepatic Trauma in Children.
Journal of Emergencies, Trauma, and Shock 2017 October
AIM OF THE STUDY: In pediatric patients with liver trauma and hemodynamic stability, conservative treatment is acknowledged as the gold standard.
PATIENTS AND METHODS: We conducted a retrospective analysis of 116 consecutive pediatric patients (<14-year-old) observed at our institution for closed abdominal trauma from January 2010 to January 2016. Among these, 16 patients (13%) had hepatic trauma Grade II or more, according to Moore liver trauma injury score.
RESULTS: Only one patient underwent surgery for hemodynamic instability; all others children received conservative treatment according to the American Paediatric Surgical Association guidelines. Three patients had a biliary complication (2, 5%). two patients treated surgically by drainage insertion and one was managed conservatively.
CONCLUSIONS: Biliary complications of liver trauma in children may require aggressive surgical approach in selective patients.
PATIENTS AND METHODS: We conducted a retrospective analysis of 116 consecutive pediatric patients (<14-year-old) observed at our institution for closed abdominal trauma from January 2010 to January 2016. Among these, 16 patients (13%) had hepatic trauma Grade II or more, according to Moore liver trauma injury score.
RESULTS: Only one patient underwent surgery for hemodynamic instability; all others children received conservative treatment according to the American Paediatric Surgical Association guidelines. Three patients had a biliary complication (2, 5%). two patients treated surgically by drainage insertion and one was managed conservatively.
CONCLUSIONS: Biliary complications of liver trauma in children may require aggressive surgical approach in selective patients.
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