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Nonoperative Management of a Major Traumatic Hepatic Injury in a Five-Year-Old Boy

Year: 2025

Type: article

Abstract: Nonoperative management (NOM) is the standard approach for stable pediatric liver trauma, though rare complications like bile leaks may occur. We present the case of a five-year-old boy with a grade V liver laceration following blunt abdominal trauma. Despite initial hypotension, he was stabilized and managed nonoperatively. On day 5, he developed jaundice and abdominal distension due to a significant bile leak. Imaging confirmed biliary injury, and the leak was successfully managed with percutaneous drainage and endoscopic sphincterotomy with common bile duct stenting. This case highlights the effectiveness of minimally invasive interventions in managing traumatic bile leaks during NOM.

Source: Cureus

DOI: 10.7759/cureus.93501

Authors: Saud Aljadaan, Meral Alzimam, Zahra AlMatar, Abdulaziz A Alkoblan

Institutions: King Abdulaziz Medical City, King Faisal Specialist Hospital & Research Centre, King Saud Medical City

Language: English

Topic: Abdominal Trauma and Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414594795