Acta Medica Medianae
Vol. 42
No 2, April, 2003
UDK 61
YU ISSN 0365-4478

 

Contact:
Zoran Marjanović
Clinic of Pediatric Surgery and Orthopedics,
Clinical Centre
Braće Tasković 48,
18000 Niš,
Serbia and Montenegro

TREATMENT OF BLUNT LIVER INJURIES IN CHILDREN

Zoran Marjanović, Ružica Milićević, Marijana Krstić, Stevan Jovčić i Ana Kostić

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 to 70%.
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