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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.

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References

  1. Williams A, Kapila L (2001) Managing an acute abdomen. Curr Pediatr 11:311–316

    Article  Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. Sivit CJ (2009) Imaging children with abdominal trauma. AJR Am J Roentgenol 192(5):1179–1189

    Article  PubMed  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  PubMed  Google Scholar 

  6. 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)

    Google Scholar 

  7. 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

    Google Scholar 

  8. 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

    Article  Google Scholar 

  9. 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

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  10. Cronan JJ, Kane NM, De Luca F (1988) Pediatric abdominal trauma: evaluation by computed tomography. Pediatrics 82(1):11–15

    PubMed  Google Scholar 

  11. 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

    Article  Google Scholar 

  12. 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

    Article  PubMed  Google Scholar 

  13. 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

    Article  Google Scholar 

  14. 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

    Article  PubMed  Google Scholar 

  15. 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

    Article  Google Scholar 

  16. 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

    Article  PubMed  Google Scholar 

  17. 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

    Article  PubMed  Google Scholar 

  18. 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

    Article  Google Scholar 

  19. 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

    Article  PubMed  Google Scholar 

  20. 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

    Article  PubMed  Google Scholar 

  21. 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

    Article  PubMed  CAS  Google Scholar 

  22. 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

    PubMed  CAS  Google Scholar 

  23. 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

    Article  PubMed  Google Scholar 

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Correspondence to Margherita Trinci .

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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

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  • DOI: https://doi.org/10.1007/978-3-319-08524-1_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08523-4

  • Online ISBN: 978-3-319-08524-1

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