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Abstract
From 1978 to 1988 228 children under 13 years of age with liver injury following blunt
abdominal trauma were studied prospectively. Motor vehicle related accidents were
responsible for 85 per cent of the injuries. Isotope liver scan established the diagnosis
and identified the pattern of injury. Multiple injuries were seen in 157 patients
— predominantly head injuries. The liver was the only intra-abdominal organ injured
in 119 patients. There were 69 associated splenic, 33 renal, 21 pancreatic and 3 bowel
injuries. There were two deaths (0.88 per cent).
Management was non-operative in 215 patients, with resolution of the liver injury
in 214. Blood was transfused in 92 patients (40 per cent) (mean volume 20 ml/kg).
There were 10 complications; two liver abscesses responded to antibiotics. Follow-up
showed complete resolution of the liver injuries. Eight underwent laparotomy because
of instability, deterioration or other extrahepatic visceral injuries. All required
blood transfusion (mean volume 30 ml/kg). There were eight complications following
surgery.
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Article info
Publication history
Accepted:
December 19,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
