From the Research
Hepatic Hematoma in Infants
- A hepatic hematoma in an infant can be caused by various factors, including trauma, sepsis, and coagulopathies 1
- Blunt trauma is a possible cause of hepatic hematoma in infants, as seen in cases of pediatric blunt liver injury 2, 3
- The clinical presentation of a hepatic hematoma in an infant can be non-specific, with signs of hypovolemic shock dominating 4, 5
- Abdominal ultrasonography is a useful diagnostic tool for detecting hepatic hematomas in infants 4, 5
Blunt Trauma as a Cause of Hepatic Hematoma
- Studies have shown that blunt trauma can cause hepatic hematomas in children, including infants 2, 3
- The management of blunt liver injury in children depends on the severity of the injury and the patient's hemodynamic stability 2, 3
- Nonoperative management may be suitable for hemodynamically stable patients with minimal bleeding, while operative management may be necessary for patients with massive bleeding or instability 2, 3
Diagnosis and Management
- A high index of suspicion is essential for early identification of hepatic hematomas in infants 4, 5
- Abdominal ultrasonography and other imaging methods can aid in the diagnosis and management of hepatic hematomas in infants 4, 5
- The management of hepatic hematomas in infants depends on the underlying cause, severity of the injury, and the patient's overall condition 4, 5, 2, 3