Pediatric blunt liver injury and coagulopathy managed with packs and a silo: case report

J Trauma. 1990 Nov;30(11):1409-10. doi: 10.1097/00005373-199011000-00017.

Abstract

Packing the abdomen can be lifesaving when severe hepatic trauma is complicated by refractory hypothermia, coagulopathy, and continuing hemorrhage requiring large-volume transfusion. This report describes the successful use of abdominal packs and a modified silo in a child following blunt liver injury.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidents, Traffic
  • Bandages
  • Blood Coagulation Disorders / blood
  • Blood Coagulation Disorders / drug therapy
  • Blood Coagulation Disorders / therapy*
  • Child, Preschool
  • Female
  • Hemorrhage / etiology
  • Hemorrhage / surgery
  • Hemorrhage / therapy*
  • Hemostasis, Surgical / instrumentation
  • Hemostasis, Surgical / methods*
  • Humans
  • Liver / injuries*
  • Pressure
  • Silver Sulfadiazine / therapeutic use
  • Wounds, Nonpenetrating / complications*
  • Wounds, Nonpenetrating / etiology

Substances

  • Silver Sulfadiazine