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Surgical management of severe pediatric blunt abdominal trauma

Adilson V B Vidal1, Adilson J M de Oliveira2, Thais N Rossi1

  • 1Pediatric Sugery Department Hospital Geral de Pedreiras São Paulo Brazil.

Clinical Case Reports
|January 25, 2023
PubMed

Insights

A pediatric patient with a severe liver injury underwent successful hepatorrhaphy using oxidized cellulose. This surgical approach effectively managed the traumatic blunt liver lesion, stabilizing the patient.

Area of Science:

  • Trauma Surgery
  • Pediatric Surgery
  • Hepatobiliary Surgery

Background:

  • Blunt liver trauma presents a significant challenge in pediatric emergency care.
  • Hemodynamic instability often necessitates urgent surgical intervention for severe liver injuries.

Observation:

  • A 3-year-old male patient presented with hemodynamic instability following blunt abdominal trauma.
  • Computed tomography (CT) revealed a grade IV liver injury, indicating a severe hepatic lesion.

Findings:

  • Surgical management via hepatorrhaphy was performed to address the grade IV liver injury.
  • Oxidized cellulose was utilized during the hepatorrhaphy procedure to control bleeding and aid in tissue repair.

Implications:

  • Hepatorrhaphy with oxidized cellulose offers a viable treatment option for severe pediatric liver trauma.
  • This case highlights the importance of prompt diagnosis and surgical intervention in managing life-threatening liver injuries in children.

Keywords:
abdominal injuriesliver surgeryliver traumapediatric surgery

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