Late complications after blunt liver injury in a child: Hemobilia with pseudoaneurysm, hemocholecystitis and biloma

Complications following blunt hepatic trauma in children are rare and are generally only seen in high grade injuries. As such, the trauma surgeon must be aware of the increased risk for these complications in severe liver injuries. We present a 6-year old patient who sustained a significant liver laceration following a handlebar injury and developed a hepatic artery pseudoaneurysm with hemobilia which was treated with angioembolization, hemocholecystitis, and biloma requiring percutaneous drainage and endoscopic sphincterotomy with stent placement. Despite these complications, our patient ultimately had a good outcome with full return to activities.