Abstract
Liver trauma accounts for nearly 30% of abdominal organ injuries in children. Common causes include road traffic accidents, handle bar injuries in bicycle riders and other severe blows to the abdomen e.g. sports injuries, child abuse, penetrating abdominal injuries. Conservative management is the mainstay of therapy for haemodynamically stable children, bile leak, pseudoaneurysm should be pre-emptively diagnosed and managed to avoid serious morbidity and mortality.
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Further Reading
van As AB, Millar AJ. Management of paediatric liver trauma. Pediatr Surg Int. 2017;33(4):445–53.
Durkin N, Deganello A, Sellars ME, Sidhu PS, Davenport M, Makin EJ. Post-traumatic liver and splenic pseudoaneurysms in children: diagnosis, management, and follow-up screening using contrast enhanced ultrasound (CEUS). Pediatr Surg. 2016;51(2):289–92.
Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995;38(3):323–4.
Sharif K, Pimpalwar AP, John P, Johnson K, Donnell S, De Ville De Goyet J. Benefits of early diagnosis and preemptive treatment of biliary tract complications after major blunt liver trauma in children. J Pediatr Surg. 2002;37(9):1287–92.
Turnock RR, Sprigg A, Lloyd DA. Computed tomography in the management of blunt abdominal trauma in children. Br J Surg. 1993;80(8):982–4.
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Sharif, K. (2018). Liver Trauma. In: Kelly, D., Sharif, K., Hartley, J. (eds) Atlas of Pediatric Hepatology. Springer, Cham. https://doi.org/10.1007/978-3-319-69529-7_10
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DOI: https://doi.org/10.1007/978-3-319-69529-7_10
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