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자료유형
학술저널
저자정보
Raghunath B. Vasudeva (Bangalore Medical College) Bahubali D. Gadgade (Bangalore Medical College) Praveena D. Lakshmi (Bangalore Medical College)
저널정보
대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.10 No.3
발행연도
2020.1
수록면
106 - 111 (6page)

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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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