https://www.ncbi.nlm.nih.gov/pubmed/29097861

J Emerg Trauma Shock. 2017 Oct-Dec;10(4):211-214. doi: 10.4103/JETS.JETS_136_16.

Biliary Complications after Hepatic Trauma in Children.
Guanà R, Giulia C, Brunati A, Garofalo S, Schleef J.

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.