Biliary Complications after Hepatic Trauma in Children.
J Emerg Trauma Shock
; 10(4): 211-214, 2017.
Article
em En
| MEDLINE
| ID: mdl-29097861
ABSTRACT
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Guideline
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article