No 2, April, 2003
YU ISSN 0365-4478
Clinic of Pediatric Surgery and Orthopedics,
Braće Tasković 48,
Serbia and Montenegro
TREATMENT OF BLUNT LIVER
INJURIES IN CHILDREN
Stevan Jovčić i
Clinic of Pediatric Surgery and Orthopedics, Clinical Centre, Niš
Liver is the largest parenchymatous organ, well vascularized,
weighing approximately 1.8-3.0% of the whole body weight. Among all abdominal
traumas liver injuries account for 25%. For more serious liver injuries the
mortality is around 40% in children below 10 years of age. For lesions of the
juxtahepatic veins (three major hepatic veins or the retrohepatic portion of v.
cava) or for complex, combined intraabdominal injuries, the mortality is even up
This work analyzed the period 1988-2000 during which there were 19 children
admitted and treated for blunt liver injuries at the Clinic of Pediatric Surgery
and Orthopedics in Nis; I, II and III scale injuries prevailed (17 cases;
89.4%). These injuries were surgically treated for the most part (17 cases;
89.4%). In 7 children (36.8%) there were combined injuries. The lethality was
26.3%-5 cases, with three major complications: two intrahepatic hematomas and
one biliary fistula associated with biliary peritonitis and biloma formation.
Acta Medica Medianae 2003; 42 (2): 23-26.
Key words: liver, trauma, intrahepatic hematoma