Imaging paediatric blunt abdominal trauma in the emergency department: ultrasound versus computed tomography

Browning, J; Wilkinson, A G; Beattie, T F

doi:10.1136/emj.2007.051862

Cited by 17 publications

(8 citation statements)

References 16 publications

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“…3 So far, US seems to be an efficient method of evaluation for hemodynamically stable children with pelvic fluid, as it has no radiation risk, it can be used repeatedly, and it is a fast, reliable, and easy to use side-by tool of radiology. US was also stated as an efficient and valuable primary tool in children with BAT.…”

Section: Discussionmentioning

confidence: 99%

“…3 The knowledge and experience with US technique, which is a radiation-free method, in the management of patients with BAT will gradually decrease unnecessary CT examinations and radiation exposures. Although the management of BAT patients with normal abdominal US involves a routine procedure, the clinical procedures for patients with some pathological findings in US may vary in different centers.…”

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confidence: 99%

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Importance of Free Intraperitoneal Fluid on Ultrasound in Children with Blunt Abdominal Trauma

Nural¹,

Ceyhan²,

Balçık³

et al. 2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The assessment of importance of free intraperitoneal fluid determination without solid organ injury by ultrasound (US) in children who had blunt abdominal trauma (BAT). M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : The clinical and imaging data of 230 children with BAT were reviewed retrospectively. All children underwent an abdominal US examination as the primary screening method. Patients with free intraperitoneal fluid without any solid-organ injury according to US examination were included in the study. The localization of intra-peritoneal fluid was also noted. US findings were compared with findings of computerized tomography, laparotomy and clinical course. R Re es su ul lt ts s: : Intraperitoneal fluid was determined in 22 patients by US examination. Fluid was located in any location in the abdominal cavity with or without pelvis involvement in 11 patients, and 6 of them had intra-abdominal injury according to final diagnosis. Remaining 11 patients had only free pelvic fluid and 2 of them had pelvic wall injury. However any intra-abdominal injury was not determined in 11 patients with only free pelvic fluid (group 1), intra-abdominal injury was determined in 1 (25%) of 4 patients who had free fluid in a single intraperitoneal space except pelvis (group 2) and in 5 (71%) of 7 patients who had free fluid in any of the intra-peritoneal spaces in addition to pelvis (group 3). Intra-abdominal injury was significantly higher in group 3 when compared to group 1 (Fisher's exact test p=0.002). C Co on nc cl lu us si io on n: : US is an effective screening method in hemodynamically stable patients with BAT. Clinical follow up of such patients is enough because the risk of serious intra-abdominal injury is low in patients with only free fluid in pelvis detected by US. However, the presence of free fluid in any abdominal location beyond the pelvis pelvis necessitates examination with further imaging modalities. K Ke ey y W Wo or rd ds s: : Abdominal injuries; child; ultrasonography Ö ÖZ ZE ET T A Am ma aç ç: : Künt karın travmalı (KKT) çocuklarda yapılan ultrasonografide (USG) solid organ yaralanması olmaksızın saptanan intraperitoneal serbest sıvının öneminin değerlendirilmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : KKT'li 230 çocuk hastanın klinik ve görüntüleme bulguları geriye dönük olarak incelendi. Hastaların tümünde ilk tarama yöntemi olarak USG incelemesi yapılmıştı. USG ile solid organ yaralanması olmaksızın sadece intraperitoneal serbest sıvısı saptanan hastalar çalışmaya alındı. İntraperitoneal serbest sıvının lokalizasyonu belirlendi. USG bulguları bilgisayarlı tomografi, laparotomi bulguları ve klinik gözlem sonucu ile elde edilen son tanı ile karşılaştırıldı. B Bu ul lg gu ul la ar r: : USG ile 22 hastada intraperitoneal sıvı saptandı. Hastaların 11'inde serbest sıvı, pelvis dışındaki karın içi boşluklarda veya pelvis ile birlikte diğer karın içi boşluklarda idi ve bunların 6'sında, son tanıya göre karın içi yaralanm...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Importance of Free Intraperitoneal Fluid on Ultrasound in Children with Blunt Abdominal Trauma

Nural¹,

Ceyhan²,

Balçık³

et al. 2012

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

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“…Multidetector CT provides a good overview of many types of injuries, including most pancreatic injuries, and is often the first choice and standard within diagnostic imaging (33,34). However, pancreatic injuries can remain undetected by CT scans, and several studies recommend using a combination of imaging methods, such as CT supported by MRCP and ERCP (33,34).…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…However, pancreatic injuries can remain undetected by CT scans, and several studies recommend using a combination of imaging methods, such as CT supported by MRCP and ERCP (33,34). Newer methods such as secretin-enhanced MRCP may provide an even sounder diagnosis, but specific data on this in cases of pancreatic trauma have not been found, nor is this examination available at all hospitals.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Stumpe pancreasskader hos barn

Antonsen¹,

Berle²,

Søreide³

2017

Tidsskriftet

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“…[23] However, there is a difference in the opinion as to the usefulness and diagnostic value of abdominal ultrasound scan. [456] While some hold the view that it only finds use in rapid evaluation for the detection of hemoperitoneum in the increasingly popular focused assessment sonography for trauma, others opine that it could, in addition, also identify significant parenchymal injuries. Some posit that it has a limited diagnostic accuracy and could engender undue delay in intervention in some patients who turn out to be false negatives (FNs).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic value of abdominal ultrasonography in patients with blunt abdominal trauma

et al. 2013

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Imaging paediatric blunt abdominal trauma in the emergency department: ultrasound versus computed tomography

Cited by 17 publications

References 16 publications

Importance of Free Intraperitoneal Fluid on Ultrasound in Children with Blunt Abdominal Trauma

Importance of Free Intraperitoneal Fluid on Ultrasound in Children with Blunt Abdominal Trauma

Stumpe pancreasskader hos barn

Diagnostic value of abdominal ultrasonography in patients with blunt abdominal trauma

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