Abdominal trauma is the most common cause of unrecognized fatal injury in children. Hildebrando ruiz cisneros, carlos huayhualla saune. Trauma abdominal cerrado y penetrante con lesion a organos abdominales blunt and penetrating abdominal trauma with injury to intraabdominal organs karla lisseth leonher ruezga, jose alfredo jimenez gomez, luis ricardo ramirez gonzalez, mario sandoval santa cruz, juan jesus gil vigna, ilse maria tello barba. Jefe servicio terapia intensiva pediatrica hospital. Blunt trauma related to mvcs causes more than 50% of the abdominal injuries in children and is also the most lethal. Scribd is the worlds largest social reading and publishing site. The aim of this paper is to discuss the mechanisms of production and the different diagnostic. Paul, mn 551012502, usa cdivision of emergency medicine, department of surgery, department of pediatrics.
Trauma abdominal cerrado y penetrante con lesion a organos. Abdominal trauma may involve penetrating or blunt injuries. This is a retrospective study of 31 patients with isolated parenchymatous abdominal organ injuries in children that were consecutively admitted and managed over the interval of four years january 2010 december 20 in our clinic. Chapter 3 the use of ct scan in hemodynamically stable children with blunt abdominal trauma. Penetrating injuries include gunshot and shrapnel injuries, impalements, and knifings. Trauma is the leading cause of death in pediatric patients older than 1 year, with abdominal trauma accounting for 10% of causes of death. Blunt trauma in paediatric patients experience from a. Hollow viscera injuries are less than 1%, however its. Pediatric abdominal trauma is typically blunt in nature with the spleen being the most common organ injured.
Paediatric surgery clinic, nis, is a trauma referral centre for the region of southeast serbia. Lesiones gastrointestinales en trauma abdominal contuso en ninos. The morbidity, mortality, and economic costs resulting from trauma in general, and blunt abdominal trauma in particular, are substantial. Colletti, mdb, donald van wie, doc aemergency medical services, blackfeet community hospital, po box 760, browning, mt 59417, usa bemergency medicine regions hospital, 640 jackson street, st. Penetrating injuries often result in injury to hollow organs, such as the intestines. Equivocal abdominal exam ongoing blood loss hematuria prolonged operation for other injuries immediate operation peritonitis on exam hypotension with. If you continue browsing the site, you agree to the use of cookies on this website.
Nonoperative management is employed in over 95% of patients. Summary abdominal trauma is a major challenge for surgeons working in emergency services. Pdf traumatismo abdominal abdominal traumatism researchgate. The aim of this paper is to discuss the mechanisms of production and the different diagnostic methods to help us make the best therapeutic decision. Children have proportionally larger solid organs, less. Serie monografica manejo inicial del politraumatismo. Surgical management of abdominal trauma howard b seim iii, dvm, dacvs colorado state university if you would like a copy of the illustrated version of these notes on cd and a video of this surgical procedure on dvd, go to. Initial assessment and management of pediatric trauma patients. Abdomen, contusion, intestino, pediatria, tomografia computarizada, trauma, viscera hueca. Abdominal trauma is responsible for about 10% of all deaths related to trama.
The provider must consider the mechanism of trauma in assessing risk of injury. Schecter sc, betts j, schecter wp et al 2012 pediatric penetrating trauma. Posible rotura diferida en traumatismos toracoabdominales izquierdos. Dpl or ultrasound evisceration open pelvic fracture anterior stab wound 4 gunshot wound ultrasound or ct ultrasound or dpl 2. Although this age group is included in studies that addressed pediatric blunt abdominal trauma, preverbal children are underrepresented and not specifically substratified. Trauma abdominal cerrado y penetrante con lesion a organos abdominales blunt and penetrating abdominal trauma with injury to intra abdominal organs karla lisseth leonher ruezga, jose alfredo jimenez gomez, luis ricardo ramirez gonzalez, mario sandoval santa cruz, juan jesus gil vigna, ilse maria tello barba. The panscan computed tomographic ct examination of the head, neck, chest, abdomen, and pelvis has become an essential element in the early evaluation and decisionmaking algorithm for hemodynamically stable patients who sustained abdominal trauma. Trauma abdominal bazo e higado, organos mas frecuentemente. Pediatric blunt abdominal trauma stephen wegner, mda,t, james e. Approach to pediatric abdominal pain slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.