Late fatal hemorrhage in pediatric liver trauma.

Abstract:

:The cumulative evidence supports nonoperative management of hepatic trauma in children who are hemodynamically stable and who require less than 50% blood volume replacement to maintain a stable blood count. This management approach, based on the use of either serial computed tomography scans, liver/spleen scans, or ultrasonography to diagnose the injury and document resolution, achieves results that exceed those of operative management for all injuries. Late complications, which may be seen in nonoperated patients, include hemobilia, bile peritonitis, abscesses and bleeding, occur with less frequency than operated patients. We report the first case of late exsanguinating hemorrhage of a resolving hepatic injury.

journal_name

J Pediatr Surg

authors

Berman SS,Mooney EK,Weireter LJ Jr

doi

10.1016/0022-3468(92)90503-y

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

1546-8

issue

12

eissn

0022-3468

issn

1531-5037

pii

0022-3468(92)90503-Y

journal_volume

27

pub_type

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