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Liver trauma in children: Our experience

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Author(s): Kepertis Chrysostomos | Zavitsanakis Athanasios | Filippopoulos Antonios | Kallergis Konstantinos

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 13;
Issue: 2;
Start page: 61;
Date: 2008;
Original page

Keywords: Children | liver trauma

ABSTRACT
Aims and Objectives: The purpose of this study was to determine the percentage, etiology, associated injuries and outcome of the children with liver trauma. Materials and Methods: In a retrospective review all children below 15 years of age who had sustained abdominal trauma were included. the study duration was January 1994 to December 2004. Results: Out of a total number of 436 trauma patients 34 were identified to have liver trauma (including one death). The median age was 5.89 and range: 1 to 14 years). Boys accounted for 76.4% ( n = 26), and the most common cause was motor vehicle injuries, accounting for 41.17% ( n = 14). Nine children underwent surgery (26.4%). Head injuries were the most common associated injuries, and the mortality rate was 2.94% ( n = 1). Conclusions: The liver remained the second most commonly injured intraabdominal organ and nonoperative management is the preferred treatment for hemodynamically stable patients.
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