Hepatic trauma in children: long-term follow-up

Détails

ID Serval
serval:BIB_811BDA62995E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Hepatic trauma in children: long-term follow-up
Périodique
European Journal of Pediatric Surgery
Auteur(s)
Farron F., Gudinchet F., Genton N.
ISSN
0939-7248
Statut éditorial
Publié
Date de publication
12/1996
Peer-reviewed
Oui
Volume
6
Numéro
6
Pages
347-349
Langue
anglais
Résumé
The purpose of this report is to assess the role of long-term clinical and hepatic ultrasound (US) follow-up in children who sustained blunt liver trauma. Forty-three children with blunt hepatic injury were prospectively studied between 1976 and 1994 in our institution. Four patients died (9%). Fourteen children (52%) were operated upon and 13 (48%) were treated conservatively. Twenty-seven patients were recalled for a long-term echography (US) with a mean time span of 6 years after trauma. The physical examination and the liver tests were normal in all patients. The US aspect of the liver was abnormal in 22% of our cases, showing hypoechogenic areas and anomalies of the biliary tract in four patients (11%). Cholelithiasis secondary to hemobilia was demonstrated in 2 patients. Cholecystectomy was performed in one patient because of posttraumatic strictures of the biliary tract. All patients with US anomalies of the liver and biliary tract were clinically asymptomatic and had normal liver tests. We recommend a follow-up US in children having sustained blunt hepatic injury about 6 months after the trauma. If no cholelithiasis or alteration of the biliary tract is present, no other follow-up procedure seems necessary.
Mots-clé
Abdominal Injuries/surgery/*ultrasonography Adolescent Adult Bile Ducts/injuries/surgery/ultrasonography Child Child, Preschool Cholecystectomy Female Follow-Up Studies Humans Liver/*injuries/ultrasonography Liver Function Tests Male Wounds, Nonpenetrating/surgery/*ultrasonography
Pubmed
Web of science
Création de la notice
08/04/2008 15:38
Dernière modification de la notice
03/03/2018 18:47
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