Liver Injuries in Children Caused by Bullock Cart Run-over: About Two Case Reports

Abstract

The severity of injuries is influenced by the weight and speed of the bullock cart wheels, which can cause serious trauma to both solid and hollow abdominal organs. We report two cases involving boys aged 8 years, who sustained blunt abdominal trauma after falling from and being run over by bullock carts while accompanying their fathers. Two of the children sustained liver injuries that required open surgical intervention. Blunt abdominal trauma (BAT) caused by bullock carts is a serious yet often overlooked issue in rural India. In rural India, bullock carts are widely used for agricultural and domestic purposes, making children particularly vulnerable to such injuries. These injuries can result in significant internal damage and are associated with high rates of morbidity and mortality. The most commonly affected organs include the spleen, liver, mesentery, and small intestine. Prompt diagnosis and management, including surgical intervention when needed, are crucial for improving outcomes and reducing mortality.