2007 Volume 43 Issue 7 Pages 928-932
We experienced three cases of blunt hepatic trauma in children who were treated non-operatively. The first case was a 9-year-old girl, with vena caval thrombosis after traumatic liver injury due to a "handle bar" bicycle accident. Anti-coagulant therapy using warfarin was effective for the thrombus and the thrombus had almost disappeared when she was discharged from the hospital within 97 days after the injury. The second case was a 12-year-old boy, with a large hepatic hematoma due to a traffic accident. The large hematoma was recognized in the center of the right lobe, but the hematoma gradually decreased and he was discharged from the hospital within 19 days after the injury. The third case was an 8-year-old boy, with blunt hepatic trauma due to a fall from a ladder. He experienced delayed hemorrhage from the pseudoaneurism within 10 days after the injury. Transcatheter arterial embolization (TAE) was performed and he was discharged from the hospital within 32 days after the injury without complication.
