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.
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