Now Reading: Bihar boy, 6, survives severe liver tear after Lucknow surgery
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Bihar boy, 6, survives severe liver tear after Lucknow surgery
A six-year-old boy from Bihar's Gopalganj district who suffered a severe liver tear and accumulated nearly two litres of blood in his abdomen after being hit by an e-rickshaw on July 29 has been successfully treated at the Apex Trauma Centre of Sanjay Gandhi Postgraduate Institute of Medical Sciences in Lucknow. Doctors diagnosed a Grade IV liver injury, requiring emergency surgery on August 1 to control active bleeding and stabilise the organ. The child was on a ventilator for 48 hours and remained under close monitoring for complications including recurrent bleeding and infection.
The trauma surgery team, led by Prof Amit Kumar Singh, performed the operation, after which Krishna showed gradual improvement and was discharged on August 19. The case underscores that internal bleeding after road accidents may occur without visible external injuries, and that Grade IV liver injuries can be fatal without rapid access to specialised trauma care. The SGPGIMS Apex Trauma Centre serves as a referral facility for complex injuries from Uttar Pradesh and neighbouring states.
Indian Opinion Analysis
Grade IV liver injuries carry a mortality rate of roughly 10-20% even in well-equipped hospitals, and for a six-year-old with nearly two litres of internal bleeding, about half a child's total blood volume, the odds of survival drop sharply without rapid surgical control. The Apex Trauma Centre at SGPGIMS, one of only a handful of dedicated trauma facilities in north India, handled the case through its round-the-clock team of hepatobiliary surgeons, anaesthetists and intensivists. What makes this case notable is that the boy was referred from a district hospital in Bihar, highlighting the patchy availability of paediatric trauma surgery outside major cities. The next benchmark for the hospital will be tracking late complications such as bile leaks or intra-abdominal abscesses, which can surface weeks after discharge.
Source: hindustantimes.com
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