Blunt abdominal trauma in children: A review of 105 cases

Sabounji, Salsabil Mohamed; Gueye, Doudou; Ngom, Gabriel

doi:10.4103/jiaps.jiaps_171_21

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2024

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“…Intra-abdominal injury requiring acute intervention can have variable and unreliable clinical presentation [ 3 ]. Symptoms and signs on presentation include vomiting, abdominal pain and tenderness, distention, with decreased or absent bowel sounds and in some cases seatbelt sign, abdominal wall abrasion and ecchymosis [ 21 , 25 , 27 , 28 , 29 , 30 , 31 ]. Multisystem trauma with distracting injuries and/or low Glasgow Coma Scale (GCS) can inhibit the provider’s ability to assess for other injuries, including intra-abdominal injury [ 3 , 8 ].…”

Section: Resultsmentioning

confidence: 99%

Gastrointestinal Perforation with Blunt Abdominal Trauma in Children

Staab,

Naganathan,

McGuire

et al. 2024

Children

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Gastrointestinal tract perforation is uncommon in children, accounting for <10% of cases of blunt abdominal trauma. Diagnosis of bowel perforation in children can be challenging due to poor diagnostic imaging accuracy. Intra-abdominal free air is found only in half of the children with bowel perforation. Ultrasound findings are nonspecific and suspicious for perforation in only two-thirds of cases. A computer tomography (CT) scan has a sensitivity and specificity of 50% and 95%, respectively. Surgical decisions should be made based on clinical examination despite normal CT results. Management of bowel perforation in children includes primary repair in 50–70% and resection with anastomosis in 20–40% of cases.

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