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Pediatric blunt liver injury and coagulopathy managed with packs and a silo: case report
S Stylianos1, N N Jacir, M A Hoffman
1Tufts University School of Medicine, Floating Hospital, Boston, Massachusetts.
The Journal of Trauma
|November 1, 1990
Insights
Abdominal packing is a life-saving technique for severe liver trauma with hypothermia, coagulopathy, and hemorrhage. This case study highlights its successful application in a pediatric patient with blunt liver injury.
Area of Science:
- Trauma surgery
- Pediatric surgery
- Hepatobiliary surgery
Background:
- Severe hepatic trauma presents complex challenges including hypothermia, coagulopathy, and hemorrhage.
- Management often requires large-volume transfusions and advanced surgical interventions.
Observation:
- This case report details the use of abdominal packing and a modified silo in a pediatric patient.
- The patient sustained a blunt liver injury necessitating aggressive management.
Findings:
- Abdominal packing, combined with a modified silo, proved to be a successful lifesaving intervention.
- This approach effectively managed refractory hemorrhage in the pediatric trauma patient.
Implications:
- Abdominal packing should be considered in pediatric cases of severe hepatic trauma with coagulopathy and hemorrhage.
- This technique offers a viable option for stabilizing critically injured children.
Abstract:
Packing the abdomen can be lifesaving when severe hepatic trauma is complicated by refractory hypothermia, coagulopathy, and continuing hemorrhage requiring large-volume transfusion. This report describes the successful use of abdominal packs and a modified silo in a child following blunt liver injury.