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Selective nonoperative management of blunt liver injuries has become a standard of care, especially in pediatric trauma centers. Recent studies report few complications with this form of therapy. Complications that occur arise over a wide time period, frequently weeks after injury. We report a patient with blunt liver trauma managed nonoperatively, who developed hemobilia 56 days after injury.
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MacGillivray et al. (1989) studied this question.
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