Nonoperative management of solid organ injury in children with blunt abdomi
nal trauma represents the standard of care. In rare cases, a major duct inj
ury with persistent bile leakage may result from blunt trauma to the liver.
This injury is of concern in patients treated nonoperatively because it ge
nerally must be treated with major abdominal surgery. The authors describe
a case of hepatic duct injury from blunt trauma in which healing occurred w
ithout surgical repair or resection. J Pediatr Surg 35:1503-1505. Copyright
(C) 2000 by W.B. Saunders Company.