Abstract
Despite improved technology and imaging techniques, problems and controversies still exist as to the best methods of diagnosis and management of visceral injuries in children with blunt abdominal trauma. The authors discuss these topics based on their experience with 732 organ injuries in 587 children under 13 years of age during the 11-year period 1978–1988.
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References
Adler DD, Blane CE, Coran AG, Silver TM (1986) Splenic trauma in the pediatric patient: The integrated roles of ultrasound and computed tomography. Pediatrics 78: 576–580
Cass AS (1983) Blunt renal trauma in children. J Trauma 23: 123–127
Cywes S, Rode H, Millar AJW (1985) Blunt liver trauma in children: nonoperative management. J Pediatr Surg 20: 14–18
Fabian TC, Mangiante EC, White TJ, Patterson CR, Boldreghini S, Britt LG (1986) A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. J Trauma 26: 602–608
Filiatrault D, Longprè D, Patriquin H, Perreault G, Grignon A, Pronovost J, Boisvert J (1987) Investigation of childhood blunt abdominal trauma: a practical approach using ultrasound as the initial diagnostic modality. Pediatr Radiol 17: 373–379
Karp MP, Jewett TC, Jr, Kuhn JP, Allen JE, Dokler ML, Cooney DR (1986) The impact of computed tomography scanning on the child with renal trauma. J Pediatr Surg 21: 617–623
Kaufman RA, Towbin R, Babcock DS, Gelfand MJ, Guice KS, Oldham KT, Noseworthy J (1984) Upper abdominal trauma in children: imaging evaluation. AJR 142: 449–460
Kovacs GZ, Davies MRQ, Saunders W, Gose C (1986) Hollow viscus rupture due to blunt trauma. Surg Gynecol Obstet 163: 552–554
Lutzker LG (1983) Radionuclide imaging of the injured spleen and liver. Semin Nuc Med 13: 184–198
Oldhamn KT, Guice KS, Ryckman F, Kaufman RA, Martin LW, Noseworthy J (1986) Blunt liver injury in childhood: evolution of therapy and current perspective. Surgery 100: 542–549
Pearl RH, Wesson DE, Spence LJ, Filler RM, Ein SH, Shandlung B, Superina RA (1989) Splenic injury: a 5-year update with improved results and changing criteria for conservative management. J Pediatr Surg 24: 121–125
Sargent JC, Marquardt CR (1950) Renal injuries. J Urol 63: 1–8
Utoff LB, Wyffels PL, Adams CS, Zwicky GF, Berg BC (1983) A prospective study comparing nuclear scintigraphy and computerized axial tomography in the initial evaluation of the trauma patient. Ann Surg 198: 611–616
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Cywes, S., Bass, D.H., Rode, H. et al. Blunt abdominal trauma in children. Pediatr Surg Int 5, 350–354 (1990). https://doi.org/10.1007/BF00177104
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DOI: https://doi.org/10.1007/BF00177104