Imaging for Hepatic Vascular Injury from Blunt Trauma in Children-Nine Cases Report

Assmae Sqalli Houssaini; Rachida Dafiri

doi:10.1016/j.jmir.2010.06.002

Imaging for Hepatic Vascular Injury from Blunt Trauma in Children-Nine Cases Report

J Med Imaging Radiat Sci. 2010 Sep;41(3):165-170. doi: 10.1016/j.jmir.2010.06.002. Epub 2011 Jun 8.

Authors

Assmae Sqalli Houssaini¹, Rachida Dafiri²

Affiliations

¹ Department of Pediatric Radiology, Children's Hospital, Hospital IBN SINA, Rabat, Morocco. Electronic address: assmae26@hotmail.com.
² Department of Pediatric Radiology, Children's Hospital, Hospital IBN SINA, Rabat, Morocco.

PMID: 31051871
DOI: 10.1016/j.jmir.2010.06.002

Abstract

Introduction: Hepatic vascular injury (HVI) is an uncommon complication of blunt abdominal trauma (BAT) in children. Diagnosis and management must be done by imaging.

Methods: A retrospective review of pediatric patients over a seven-year period (2000-2007). Of 25 files of liver injuries (LI), 9 cases of HVI were diagnosed. All of our cases were explored by sonographic, duplex sonography and computed tomography.

Results: Of twenty-five cases of LI, nine cases of HVI were recorded. Sex ratio male/female = 1.25 with mean age = 7.88, five cases of vein injuries, two cases of traumatic hepatic artery pseudoaneurysm, and two cases of arteriovenous fistula.

Conclusion: HVI affects 36% of liver injuries. Those injuries are often lethal, so systematic detection and treatment in emergency is essential. The role of imaging is both diagnosis and therapeutic.