Advertisement

Blunt Bowel Injuries in Children

  • Rizwan Ahmad Khan
Chapter

Abstract

Intestinal injury is less commonly seen than solid organ injury in blunt abdominal trauma. There is 1–15% reported incidence of intestinal injury in children with blunt trauma. Since its incidence is not so common, a high index of suspicion is required for its diagnosis and better prognosis. The jejunum is the most common site of intestinal injury, particularly near the ligament of Treitz followed by the ileum, duodenum, colon, and stomach in that order.

References

  1. 1.
    Nance ML, Keller MS, Stafford PW. Predicting hollow visceral injury in the pediatric blunt trauma patient with solid visceral injury. J Pediatr Surg. 2000;35:1300–3.CrossRefPubMedGoogle Scholar
  2. 2.
    Holland AJ, Cass DT, Glasson MJ, et al. Small bowel injuries in children. J Paediatr Child Health. 2000;36:265–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Paris C, Brindamour M, Ouimet A, St-Vil D. Predictive indicators for bowel injury in pediatric patients who present with a positive seat belt sign after motor vehicle collision. J Pediatr Surg. 2010;45:921–4.CrossRefPubMedGoogle Scholar
  4. 4.
    Hom J. The risk of intra-abdominal injuries in pediatric patients with stable blunt abdominal trauma and negative abdominal computed tomography. Acad Emerg Med. 2010;17:469–75.CrossRefPubMedGoogle Scholar
  5. 5.
    Bixby SD, Callahan MJ, Taylor GA. Imaging in pediatric blunt abdominal trauma. Semin Roentgenol. 2008;43:72–82.CrossRefPubMedGoogle Scholar
  6. 6.
    VanderKolk WE, Garcia VF. The use of laparoscopy in the management of seat belt trauma in children. J Laparoendosc Surg. 1996;6:S45–9.PubMedGoogle Scholar
  7. 7.
    McKinley AJ, Mahomed AA. Laparoscopy in a case of pediatric blunt abdominal trauma. Surg Endosc. 2002;16:358.CrossRefPubMedGoogle Scholar
  8. 8.
    Gandhi RR, Stringel G. Laparoscopy in pediatric abdominal trauma. JSLS. 1997;1:349–51.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Ulman I, Avanoglu A, Ozcan C, et al. Gastrointestinal perforations in children: a continuing challenge to nonoperative treatment of blunt abdominal trauma. J Trauma. 1996;41:110–3.CrossRefPubMedGoogle Scholar
  10. 10.
    Ozturk H, Onen A, Otcu S, et al. Diagnostic delay increases morbidity in children with gastrointestinal perforation from blunt abdominal trauma. Surg Today. 2003;33:178–82.CrossRefPubMedGoogle Scholar
  11. 11.
    Sarihan H, Abes M. Non-operative management of intraabdominal bleeding due to blunt trauma in children: the risk of associated intestinal injuries. Pediatr Surg Int. 1998;13:108–11.CrossRefPubMedGoogle Scholar
  12. 12.
    Schimpl G, Schmidt B, Sauer H. Isolated bowel injury in blunt abdominal trauma in childhood. Eur J Pediatr Surg. 1992;2:341–4.CrossRefPubMedGoogle Scholar
  13. 13.
    Thompson SR, Holland AJA. Perforating small bowel injuries in children: influence of time to operative operation on outcome. Injury. 2005;36:1029–33.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Rizwan Ahmad Khan
    • 1
  1. 1.Department of Pediatric SurgeryJawaharlal Nehru Medical College, AMUAligarhIndia

Personalised recommendations