Liver and Bile Duct Laceration from Blunt Abdominal Trauma in Children

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Abstract
The case of an 11-year-old boy who received blunt abdominal trauma, resulting in lacerations of both hepatic bile ducts and the right lobe of the liver, is reported. Following an emergency operation during which the liver laceration was repaired, the patient became jaundiced. A more extensive procedure was done 9 days later at which time the laceration of the intrahepatlc portions of the right and left hepatic ducts were discovered and repaired over polyethylene stents. Complete recovery ensued. Blunt abdominal trauma is increasing in frequency. Recovery from such trauma resulting in extensive laceration to both the liver and a major bile duct in a child is rare. Diagnosis and management are discussed.

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