Lessons Learnt in The Management of Acute Complications following Liver Injury in Children

다국어 초록 (Multilingual Abstract)

Purpose: Liver injuries constitute an important cause of hospital admissions, pediatric morbidity,and sometimes mortality. This study was undertaken to assess the spectrum of pediatric liverinjuries with special emphasis on the management of acute complications.
Methods: This retrospective study used data from the Department of Pediatric Surgery, BangaloreMedical College, Bengaluru, India, between March 2013 and March 2019. All children between 1-18years were included in the study (n = 33). Children were assessed with relevance to age, sex, modeof injury, hemodynamic stability at admission, need for blood transfusions, surgery, radiologicalinvestigations, complications, total number of days of stay in hospital, and mortality.
Results: There were 27 (81.8%) males and 6 (18.18%) were females. The most common cause forinjury was a road traffic accident (60.6%). The majority (nearly 65%) of pediatric liver injurieswere Grade II and III. There were 4 children who had post traumatic complications including 2pseudoaneurysms, 1 inferior vena cava thrombus, and 1 bile leak with a biloma formation whichwere managed appropriately.
Conclusion: Timely and appropriate radiological evaluation is required for assessments ofcomplications. The majority of complications can be managed conservatively, and minimally invasivetechniques like endoscopic retrograde cholangiopancreatography is helpful in the management ofcomplications.

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