Nonpenetrating intraabdominal injuries in children

Hood, Jessica M.; Smyth, B.

doi:10.1016/0022-3468(74)90011-6

Cited by 16 publications

(2 citation statements)

References 24 publications

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“…Trauma forces the relatively immobile second and third portions of the It should be realized that blunt trauma to the abdomen is by far the major but not the only cause of duodenal hematoma. Intramural hematoma has also been described in adults after gallbladder or bile duct operations [4] and as an unusual complication of peroral small bowel biopsy [5]. However, intramural hematoma can also occur spontaneously, particularly in patients receiving anticoagulant therapy [3], suffering from hemophilia, Henoch-Schoenlein purpura, or cirrhosis of the liver.…”

Section: Discussionmentioning

confidence: 99%

Intramural duodenal hematoma in children

Mahboubi

Kaufmann

1976

Gastrointest Radiol

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Excellent results can be obtained with conservative therapy of intramural duodenal hematomas, and thus the radiologist plays a crucial role in their management and followup. Six children in in whom intramural duodenal hematoma was diagnosed, based on clinical, laboratory, and radiographic findings, were managed conservatively. Treatment consisted of restricted oral intake, intravenous infusion of fluids and electrolytes, and nasogastric suction when indicated. The satisfactory response of these patients to nonoperative therapy was demonstrated on serial upper gastrointestinal studies and by regression of clinical signs and symptoms.

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Section: Discussionmentioning

confidence: 99%

Intramural duodenal hematoma in children

Mahboubi

Kaufmann

1976

Gastrointest Radiol

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“…Approximately 30% of children with blunt trauma have abdominal injuries.l. 2 Geisinger Medical Center, Danville, Pennsylvania, has a trauma center serving a large rural population. Management of pediatric patients with blunt injury is a team effort.…”

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confidence: 99%

Blunt abdominal trauma in children

Evans¹,

Brotman²,

Wilt³

1986

Postgraduate Medicine

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Blunt abdominal trauma, common in the pediatric patient, often presents diagnostic difficulties. Following proper resuscitation of the patient, the abdomen must be carefully evaluated. Adequate physical examination is often impossible. Computed tomography of the abdomen is preferable in the stable patient, but peritoneal lavage is occasionally useful. Nonoperative therapy is often used in management of solid visceral injuries in children, but this type of therapy necessitates frequent, careful monitoring.

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