XXXX after non-operative management of blunt @entity99 .

@entity1 @entity5572 @entity409 @entity8466 @entity1320 @entity99 @entity130
BACKGROUND: The non-operative management of blunt @entity409 can be applied in almost 80% of @entity1 with this @entity130 , with the advantages of the need for fewer blood transfusions, less @entity1320 , and a better survival rate, than with the operative approach. However, @entity5572 , as a known complication of the non-operative management of blunt @entity409 , is discussed infrequently. Therefore, we herein review our experience and describe this complication in detail. MATERIALS AND METHODS: From 1995 to 2001, 674 @entity1 were admitted to our hospital due to blunt @entity99 . Among these @entity1 , 279 underwent laparotomy and the remaining 395 @entity1 were treated non-operatively. Twenty-two @entity1 were identified as having @entity5572 , with 16 of them belonging to the operative group, and six to the non-operative group. A retrospective review of these six @entity1 and their characteristics, as well as pathogenesis, diagnosis, and the management of the liver abscesses, was conducted. RESULTS: These six @entity1 were all male, with a median age of 19.5 years (range 3-24). The median injury severity score was 16.5 (range 9-25); three @entity1 sustained grade-3 @entity99 , and the other three were grade 4. The main diagnostic tool was abdominal computed tomography, and the abscesses took a median of 6 days (range 1-12) to form and be diagnosed. The abscesses were usually caused by infection from mixed organisms, and an abscess resulting from @entity8466 developed within 1 day after injury. These abscesses were treated with antibiotics and drainage, and the median length of hospital stay was 26 days (range 8-44), without mortality or long-term morbidity. CONCLUSION: @entity5572 as a complication of the non-operative management of blunt @entity99 is a rare entity, with an incidence of 1.5% (6/395). It is usually seen in severe @entity99 (grade 3 and above), but all our @entity1 were all treated successfully, with no mortality. However, prolonged hospitalization may be required in this @entity1 group.
