Abstract
Today, haemodynamically stable children with blunt liver trauma are treated conservatively and can be discharged from hospital within one week. We report on a 14-year-old boy with a blunt hepatic trauma grade III, who showed a pseudoaneurysm with active bleeding into the abdominal cavity after mobilisation on day 9. Supraselective angiography of the right hepatic artery was performed and 2 titanium coils and gelatine sponge particles were placed for embolisation. In view of this complication, we suggest carrying out colour Doppler sonographic imaging to rule out pseudoaneurysm in children with blunt hepatic trauma before they are discharged from hospital.
Key words
liver injury - Doppler ultrasound - pseudoaneurysm - aterial embolisation
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Dr. med. HWH Hans Walter Hacker
Department of Pediatric Surgery
Kinderspital Lucerne
6000 Lucerne 16
Switzerland
Email: hanswalter.hacker@ksl.ch
