Abstract
The aim of this chapter is to explain the proper radiological management of pediatric abdominal trauma. It mainly depends on the dynamics of the trauma, if major or minor trauma, the clinical conditions in which the patient arrives at the hospital, and the anatomical-structural differences between a pediatric and an adult patient.
We speak about the different imaging techniques, the semiotic aspects of each abdominal organ traumatic lesions, and the prognostic factors that can influence the management of the patient and thus allow the physician to decide the adequate therapeutic choice. Main complications and the timing in which they develop are another issue that we discuss.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Williams A, Kapila L (2001) Managing an acute abdomen. Curr Pediatr 11:311–316
Hynick NH, Brennan M, Schmit P, Noseworthy S, Yanchar NL (2014) Identification of blunt abdominal injuries in children. J Trauma Acute Care Surg 76(N1):95–1000
Sivit CJ (2009) Imaging children with abdominal trauma. AJR Am J Roentgenol 192(5):1179–1189
Streck CJ Jr, Jewett BM, Wahlquist AH, Gutierrez PS, Russell WS (2012) Evaluation for intra-abdominal injury in children following blunt torso trauma. Can we reduce unnecessary abdominal CT by utilizing a clinical prediction model? J Trauma Acute Care Surg 73(2):371–376
Menoch MJ, Hirsh DA, Khan NS, Simon HK, Sturm JJ (2012) Trends in computed tomography utilization in pediatric emergency department. Pediatrics 129(3):e690–e697
Pinto F, Miele V, Scaglione M, Pinto A (2013) The use of contrast-enhanced ultrasound in blunt abdominal trauma: advantages and limitations. Acta Radiologica (Epub ahead of print)
Miele V, Buffa V, Stasolla A, Regine G, Atzori M, Ialongo P, Adami A (2004) Contrast enhanced ultrasound with second generation contrast agent in traumatic liver lesions. Radiol Med 107:82–91
Cagini L, Gravante S, Malaspina M, Cesarano E, Giganti M, Rebornato A, Fonio P, Scialpi M (2013) Contrast enhanced ultrasound (CEUS) in blunt abdominal trauma. Crit Ultrasound J 5(Suppl 1):1–7
Valentino M, De Luca C, Galloni SS, Branchini M, Modolon C, Pavlica P, Barozzi L (2010) Contrast Enhanced US evaluation in patients with blunt abdominal trauma. J Ultrasound 13:22–27
Cronan JJ, Kane NM, De Luca F (1988) Pediatric abdominal trauma: evaluation by computed tomography. Pediatrics 82(1):11–15
Patrick DA, Bensard DD, Moore EE, Terry SJ, Karree FM (1998) Ultrasound is an effective triage tool to evaluate blunt abdominal trauma in the pediatric population. J Trauma 45(1):57–63
Tseng YC, Lee MS, Chang YJ, Wu HP (2008) Acute abdomen in pediatric patient admitted to the Pediatric Emergency Department. Pediatr Neonatol 49(4):126–134
BuIas DI, Eichelberger MR, Sivit CJ, Wright CJ, Gotschall CS (1993) Hepatic injury from blunt trauma in children: follow-up evaluation with CT. AJR Am J Roentgenol 160:347–351
Yi IK, Miao FL, Wong J, Narasimhan KL, Lo RH, Yee L, Stringer DA, Sundfor AJ (2010) Prophylactic embolization of hepatic artery pseudoaneurysm after blunt abdominal trauma in a child. J Pediatr Surg 45:837–839
Shanmuganathan K, Mirvis SE, Boyd-Kranis R, Takada T, Scalea TM (2000) Nonsurgical management of blunt splenic injury: use of CT criteria to select patients for splenic arteriography and potential endovascular therapy. Emerg Radiol 1:75–82
Fick AEA, Raychaudhuri P, Bear J, Roy G, Balogh Z, Kumar R (2011) Factors predicting need for splenectomy in children with blunt splenic trauma. ANZ J Surg 81:717–719
Lippert SJ, Hartin CW Jr, Ozgediz DE, Glick PL, Caty MG, Flynn WJ, Bass KD (2013) Splenic conservation: variation between pediatric and adult trauma centers. J Surg Res 182(1):17–20
Brennan TV, Lipshutz GS, Posselt AM, Horn JK (2003) Congenital cleft spleen with CT scan appearance of high-grade splenic laceration after blunt abdominal trauma. J Emerg Med 2:139–142
St Peter SD, Aguayo P, Juang D, Sharp SW, Snyder CL, Holcomb GW 3rd, Ostlie DJ (2013) Follow up of prospective validation of an abbreviated bed rest protocol in the management of blunt spleen and liver injury in children. J Pediatr Surg 48:2437–2441
Graziano KD, Juang D, Notrica D, Grandsoult VL, Acosta J, Sharp SW, Murphy JP, St. Peter SD (2014) Prospective observational study with an abbreviated protocol in the management of blunt renal injury in children. J Pediatr Surg 49:198–201
Regine G, Atzori M, Miele V, Buffa V, Galluzzo M, Luzietti M, Adami L (2007) Second-generation sonographic contrast agents in the evaluation of renal trauma. Radiol Med 112:581–587
Miele V, Patti G, Galluzzo M, Bibbolino C, Adami L (1998) Isolated pancreatic rupture caused by abdominal blunt trauma in a child. Study with spiral computerized tomography. Radiol Med 96:256–258
Iqbal CW, St. Peter SD, Tsao K, Cullinane DC, Gourlay DM, Ponsky TA, Wlkan ML, Adibe OO (2014) Operative vs non operative management for blunt pancreatic transection in children: multi institutional outcomes. J Am Coll Surg 218:157–162
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Trinci, M., Sessa, B., Menichini, G., Valentini, V., Miele, V. (2015). Abdominal Trauma. In: Miele, V., Trinci, M. (eds) Imaging Trauma and Polytrauma in Pediatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-08524-1_4
Download citation
DOI: https://doi.org/10.1007/978-3-319-08524-1_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-08523-4
Online ISBN: 978-3-319-08524-1
eBook Packages: MedicineMedicine (R0)