The liver or spleen may be injured through sport accidents, a motor vehicle incident or during play, such as a fall from a monkey bar. At the time of the trauma, the liver or spleen may “crack” and have bleeding inside the organ, or the covering of the spleen or liver may tear, or rupture, resulting in bleeding inside the abdomen.
When your child is brought to MultiCare Mary Bridge Children’s Hospital after an injury, specialty physicians from the pediatric surgery team, Emergency Department, Pediatric Intensive Care Unit and inpatient pediatric team will all work together to diagnose and treat your child.
We use a grading system to decide how badly your child’s liver or spleen is injured. This grade helps to determine treatment recommendations for your child. Most injuries will heal without surgery, but will require a hospital stay. Children with severe injuries may require admission to the Intensive Care Unit, but most children are admitted to a Medical/Surgical Unit.
Initial treatment in the hospital will include:
In some cases a blood transfusion may be required. We will discuss this with you in detail if your child needs one.
Quiet activity should be planned for the first seven days with adult supervision.
When your child is discharged from the hospital, your surgeon will recommend when your child can start regular activity and contact sports. This may range from three to six weeks from when your child returns home. Your doctor may want a CT scan or ultrasound after discharge, before allowing your child to play contact sports.
Call Child Life Services at 253-403-5315 to schedule a pre-surgery tour.
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