Blunt Abdominal Trauma In Children Research Articles

Reimaging study in the management of blunt abdominal trauma in children: a low income country single center experience

Introduction The abdomen is the most prevalent site of primarily unidentified fatal injury after blunt trauma, and represents the third major affected part. However, follow-up strategies of intra-abdominal injuries remain controversial. The aim of this study is to describe the characteristics of children with blunt abdominal trauma (BAT) and who presented radiographic amendments in re-imaging studies and predict factors that could identify patients group requiring control in this population. Methods A retrospective study was conducted in the department of pediatric surgery and the intensive care unit of Monastir involving all patients under the age of 14 years old who were admitted for blunt abdominal trauma between January 2010 and December 2021.An analysis of epidemiological, clinical, radiological and therapeutic management characteristics were performed. Results A total of 151 patients were included in this study with a mean age of six years. The sex ratio (m/f) was 2.7. Most trauma circumstances were related to road accidents (43.7%) and falls (32.4%). The liver, the spleen, and the kidneys were the most frequently affected organs. A combination of intra-abdominal lesions was recorded in 32 cases. 84% of the cases (110/131) of the reimaged patients had no complications, compared to 16% (21/131) who developed intra-abdominal complications. The complicated reimaging findings were significantly associated with high grade hepatic and renal injuries (p=0.019 and 0.002, respectively), and patient symptom persistence or development (p=0.001). Conclusion It is safe to avoid performing reimaging studies if clinical progression remains uneventful in children with low-grade hepatic, splenic, and renal lesions. However, the clinical assessment is the most crucial consideration during BAT management in children.

Reimaging study in the management of blunt abdominal trauma in children: a low income country single center experience

Introduction: The abdomen is the most prevalent site of primarily unidentified fatal injury after blunt trauma, and represents the third major affected part. However, follow-up strategies of intra-abdominal injuries remain controversial. The aim of this study is to describe the characteristics of children with blunt abdominal trauma (BAT) and who presented radiographic amendments in re-imaging studies and predict factors that could identify patients group requiring control in this population. Methods: A retrospective study was conducted in the department of pediatric surgery and the intensive care unit of Monastir involving all patients under the age of 14 years old who were admitted for blunt abdominal trauma between January 2010 and December 2021.An analysis of epidemiological, clinical, radiological and therapeutic management characteristics were performed. Results: A total of 151 patients were included in this study with a mean age of six years. The sex ratio (m/f) was 2.7. Most trauma circumstances were related to road accidents (43.7%) and falls (32.4%). The liver, the spleen, and the kidneys were the most frequently affected organs. A combination of intra-abdominal lesions was recorded in 32 cases. 84% of the cases (110/131) of the reimaged patients had no complications, compared to 16% (21/131) who developed intra-abdominal complications. The complicated reimaging findings were significantly associated with high grade hepatic and renal injuries (p=0.019 and 0.002, respectively), and patient symptom persistence or development (p=0.001). Conclusion: It is safe to avoid performing reimaging studies if clinical progression remains uneventful in children with low-grade hepatic, splenic, and renal lesions. However, the clinical assessment is the most crucial consideration during BAT management in children.

Blunt abdominal trauma in children and adolescents: treatment concepts in the acute phase

Fatal accidents due to blunt force trauma are the leading cause of death in children and adolescents [1]. Abdominal trauma is the third most common cause of death after traumatic brain injury and thoracic injuries [2]. Abdominal injury is seen in approximately 2-5% of children involved in accidents [3]. Blunt abdominal injuries are common sequelae of traffic accidents (for example as seat belt injury), falls, and sports accidents. Penetrating abdominal injuries are rare in central Europe. Spleen, liver, and kidney lacerations are the most common injuries after blunt abdominal trauma [4]. In most situations, nonoperative management (NOM) has become the gold standard with the surgeon leading the multidisciplinary treatment [5].

Analysis of the efficacy and safety of conservative treatment of blunt abdominal trauma in children: retrospective study. Conservative treatment of blunt abdominal trauma in children

RESUMO Introdução: no Brasil, o trauma é responsável por 40% dos óbitos na faixa etária entre 5 e 9 anos, e 18% entre 1 e 4 anos, e o sangramento é a principal causa de prevenção morte na criança traumatizada. O manejo conservador de trauma abdominal contuso com lesão de órgãos sólidos - iniciado na década de 60 - é a tendência mundial atual, com estudos mostrando taxas de sobrevivência acima de 90%. O objetivo do presente trabalho foi avaliar a eficácia e segurança do tratamento conservador em crianças com trauma abdominal contuso tratado no Hospital das Clínicas da Universidade de Campinas, nos últimos cinco anos. Métodos: análise retrospectiva de prontuários de pacientes classificados por níveis de gravidade da lesão, em 27 crianças. Resultados: apenas uma criança foi submetida a cirurgia por falha inicial do tratamento conservador (instabilidade hemodinâmica persistente), resultando em uma taxa de sucesso global de 96% do tratamento conservador inicial. Outras cinco crianças (22%) desenvolveram complicações tardias que exigiram cirurgias eletivas: lesão na bexiga, dois casos de coleção perirenal infectada (secundária à lesão de sistema de coleta renal), um pseudocisto pancreático e um cisto esplênico. Resolução da complicação foi atingida em todas as crianças, com preservação anatômica e funcional do órgão afetado. Não houve mortes nesta série. Conclusão: a abordagem inicial conservadora no tratamento de trauma abdominal contundente foi eficaz e segura com alta resolução e baixa taxa de complicações levando a uma alta taxa de preservação dos órgãos afetados. Nível de evidência III - estudo prognóstico e terapêutico.

Analysis of the efficacy and safety of conservative treatment of blunt abdominal trauma in children: retrospective study. Conservative treatment of blunt abdominal trauma in children.

in Brazil, trauma is responsible for 40% of deaths in the age group between 5 and 9 years old, and 18% between 1 and 4 years, and bleeding is the leading cause of preventable death in the traumatized child. Conservative management of blunt abdominal trauma with solid organs injury - started in the 60s - is the current world trend, with studies showing survival rates above 90%. The objective was to assess the efficacy and safety of conservative treatment in children with blunt abdominal trauma treated at the Clinical Hospital of the University of Campinas, in the last five years. retrospective analysis of medical records of patients classified by levels of injury severity, in 27 children. only one child underwent surgery for initial failure of conservative treatment (persistent hemodynamic instability), resulting in a 96% overall success rate of the conservative treatment. Five other children (22%) developed late complications that required elective surgery: a bladder injury, two cases of infected perirenal collections (secondary to injury of renal collecting system), a pancreatic pseudocyst and a splenic cyst. Resolution of the complications was attained in all children, with anatomical and functional preservation of the affected organ. There were no deaths in this series. the conservative initial approach in the treatment of blunt abdominal trauma was effective and safe with high resolution and low rate of complications leading to a high preservation rate of the affected organs. Level of evidence III - prognostic and therapeutic study.

Hemostasis for central rupture of liver in a child

Blunt abdominal trauma in children accompanied by liver damage occurs in 18-20% of cases. Endovascular embolization is the most common approach for bleeding following central ruptures of liver. Foreign authors published few case reports devoted to successful embolization for central liver ruptures in children. In Russian-language literature, there is one similar report with complicated postoperative period. We present a child with class II blunt liver injury, marginal rupture and central hematoma. The patients underwent suturing of marginal rupture and endovascular embolization without postoperative complications.

Blunt Abdominal Trauma in Children: A Review of 105 Cases.

The aim of the study is to identify the epidemiological, diagnostic, therapeutic, and evolutionary characteristics of patients admitted for blunt abdominal trauma (BAT) in a level 3 children's hospital. The frequency was 13.1 cases/year. The mean age was 6.6 years. The sex ratio was 3.56. Road traffic accidents were the most frequent cause (54.3%). Abdominal tenderness (88.6%) was the most common physical sign. Associated lesions were found in 40% of cases. Abdominal sonography (85.7%) was the most common imaging tool followed by an abdominal computed tomography scan (34.4%). The liver was the most affected organ (24.7%) and contusion was the most frequent lesion (65.4%). The majority of patients had received nonoperative treatment (93.3%). The average length of hospitalization was 5.6 days. The outcome in all cases was favorable. No mortality was reported. BAT in children is common in boys under the age of 10. They are caused by road accidents. Physical examination combined with abdominal ultrasound is very important in the therapeutic decision, which in most cases is a conservative one. Morbidity and mortality are almost nil.

Mesenteric Injury in Blunt Abdominal Trauma in Children: Is Early Surgical Intervention Need of the Hour?

Objective:There is an increasing trend of observational, nonsurgical management of abdominal injuries in children. We analyzed the feasibility and outcome of our management protocol in managing cases of the mesenteric injuries in blunt trauma abdomen in pediatric age group.Methods:Single-center retrospective analysis of pediatric trauma case records from July 2018 to March 2020 was performed.Results:Thirty-four cases of blunt abdominal trauma of whom 13 had mesenteric injuries were reviewed. The male-to-female ratio was 2.2:1, and the mean age was 9.11 ± 4.90 years. Mesentery of the small bowel was the most commonly injured segment and treatment consisted of repair of mesenteric tear, resection, and anastomosis with or without stoma formation.Conclusions:Isolated mesenteric injury of all grades should be managed either with diagnostic laparoscopy or laparotomy irrespective of hemodynamic status.

Pediatric Blunt Abdominal Trauma and Point-of-Care Ultrasound.

Blunt abdominal trauma (BAT) accounts for most trauma in children. Although the focused assessment with sonography in trauma (FAST) is considered standard of care in the evaluation of adults with traumatic injuries, there is limited evidence to support its use as an isolated evaluation tool for intra-abdominal injury as a result of BAT in children. Although a positive FAST examination could obviate the need for a computed tomography scan before OR evaluation in a hemodynamically unstable patient, a negative FAST examination cannot exclude intra-abdominal injury as a result of BAT in isolation. In this article, we review the evaluation of BAT in children, describe the evaluation for free intraperitoneal fluid and pericardial fluid using the FAST examination, and discuss the limitations of the FAST examination in pediatric patients.

Contrast-enhanced ultrasound of blunt abdominal trauma in children.

Trauma is the leading cause of morbidity and mortality in children, and rapid identification of organ injury is essential for successful treatment. Contrast-enhanced ultrasound (CEUS) is an appealing alternative to contrast-enhanced CT in the evaluation of children with blunt abdominal trauma, mainly with respect to the potential reduction of population-level exposure to ionizing radiation. This is particularly important in children, who are more vulnerable to the hazards of ionizing radiation than adults. CEUS is useful in hemodynamically stable children with isolated blunt low- to moderate-energy abdominal trauma to rule out solid organ injuries. It can also be used to further evaluate uncertain contrast-enhanced CT findings, as well as in the follow-up of conservatively managed traumatic injuries. CEUS can be used to detect abnormalities that are not apparent by conventional US, including infarcts, pseudoaneurysms and active bleeding. In this article we present the current experience from the use of CEUS for the evaluation of pediatric blunt abdominal trauma, emphasizing the examination technique and interpretation of major abnormalities associated with injuries in the liver, spleen, kidneys, adrenal glands, pancreas and testes. We also discuss the limitations of the technique and offer a review of the major literature on this topic in children, including an extrapolation of experience from adults.

Imaging for Pediatric Blunt Abdominal Trauma With Different Prediction Rules: Is the Outcome the Same?

Computerized tomography (CT) of the abdomen and pelvis is the standard imaging modality to diagnose intra-abdominal injury (IAI). Clinicians must weigh the risk-benefit of CT compared with the degree of clinical suspicion for an IAI. Pediatric Emergency Care Applied Research Network (PECARN), Streck, and blunt abdominal trauma in children (BATiC) prediction rules have been published to help guide evaluation of these patients. Pediatric Emergency Care Applied Research Network uses history and physical examination findings, whereas Streck and BATiC use examination plus laboratory and imaging findings. At the time of the study, there was not a protocol that was more routinely sited. Our goal was to compare these different prediction rules. This was a retrospective electronic chart review of all children younger than 18 years presenting for either level 1 or 2 trauma activations at our pediatric emergency department (ED) between June 1, 2015, to June 30, 2017. Charts were manually reviewed for a mechanism concerning for abdominal trauma, and demographic data, history and physical examination findings, laboratory and imaging results per prediction rules, and revisits in 7 days were collected.The prediction rules were applied to all charts that had all data necessary. For study purposes, a score of zero for PECARN and Streck, and score of ≤5 for modified BATiC (mBATiC) were defined as "low risk." Patients with no CT, negative CT, and no new injury found on revisit were classified as "no IAI identified," and patients with positive CT or revisit with injury found as "IAI identified." The results were compared via Fisher exact test. A total of 249 patients met the inclusion criteria with a median age of 12 years. Of the low-risk patients, 119 (98.7%) of 121 in PECARN group, 21 (100%) of 21 in Streck, and 48 (85.7%) of 56 in mBATiC group had no IAI identified. None of the low-risk patients required any intra-abdominal intervention. No missed IAI was identified during revisit review. Negative predictive values of all 3 rules were significant for PECARN, Streck, and mBATiC (98.35%, 100%, and 85.71%, respectively). Overall, 27 patients had positive CT results for IAI. The PECARN and Streck rules have high negative predictive values to predict low-risk patients who do not require CT. When laboratory studies are not obtained, PECARN is an effective means of excluding IAI for low-risk patients. When laboratory tests were obtained, the Streck rule performed well. Overall, the results are similar to the past individual studies done on each individual rule. History and physical examination findings are of high importance in pediatric trauma. This study supports limited imaging when no abnormal findings are present in children with blunt torso trauma. This is the only study found in the literature that has compared 3 different prediction rules.

Trauma abdominal contuso por golpe con manubrio de bicicleta

Introducción: Los accidentes en bicicleta son una causa frecuente de trauma abdominal contuso en pediatría. En Chile no existen publicaciones científicas que traten sobre las lesiones abdominales por manubrio de bicicleta, su presentación y manejo.Objetivo: Describir tres casos clínicos de trauma abdominal contuso provocados por manubrio de bicicleta en niños, ilustrar las distintas lesiones observadas, sus formas de presentación y manejo.Casos Clínicos: 1) Paciente masculino, 11 años, consulta tras golpe con manubrio de bicicleta en epigastrio; en la Tomografía Computada (TC) de abdomen y pelvis se describió neumoretroperitoneo. Se realizó laparotomía exploradora, reparándose una perforación duodenal. 2) Paciente masculino, 14 años, consulta tras golpe en el hipocondrio izquierdo con el manubrio de la bicicleta; en la TC se evidenció fractura esplénica con múltiples laceraciones. Por la presencia de sangrado activo se trató con angioembolización, lográndose resolución de la lesión y viabilidad del órgano luego de 6 semanas de seguimiento. 3) Paciente masculino, 9 años, ingresó tras sufrir golpe con manubrio de bicicleta en el hipocondrio derecho. En TC se observó una laceración hepática, que fue manejada de forma expectante, con resolución de la lesión luego de 8 semanas de seguimiento. Todos los pacientes tuvieron una evolución favorable.Conclusión: El trauma abdominal contuso por golpe con manubrio de bicicleta puede ser potencialmente grave en pacientes pediátricos, pudiendo afectar órganos sólidos y vísceras huecas. El manejo no quirúrgico cada vez es más utilizado, logrando altas tasas de éxito en pacientes estables. Los pacientes inestables o en los que se sospeche perforación de víscera hueca, requerirán cirugía como primera aproximación.

Predictive Model for Operative Intervention after Blunt Abdominal Trauma in Children with Equivocal CT Findings: A Pilot Study

BackgroundTo study the clinical and radiologic factors predicting the need for surgical intervention after blunt abdominal trauma (BAT) in children with equivocal computed tomography (CT) scan findings. MethodsWe performed a retrospective review of the trauma database at our level I pediatric trauma center between 2011 and 2019. We selected patients with BAT and equivocal findings for surgical intervention on CT scan. We studied five factors: abdominal wall bruising (AWB), abdominal pain/tenderness (APT), thoracolumbar fracture, the presence of free fluid (FF), and the presence of solid organ injury, all previously reported in the literature to predict the need for operative intervention. We used t-test, the Kruskal-Wallis test and logistic regression to study the association of these factors with the need for operation in our pediatric cohort. ResultsOf 3044 blunt trauma patients, 288 had abdominal CT scans with 61 patients demonstrating equivocal findings. Operation was performed for 12 patients (19.7%) confirming surgically correctable traumatic injuries. The need for surgical intervention was significantly associated with the age of the patients (P = 0.03), the presence of APT (P = 0.001), AWB (P = 0.01), and FF (P = 0.04). The presence of thoracolumbar fracture and solid organ injury were not significantly associated with the need for operation. For the subset of 37 patients who were injured in a motor vehicle crash, five (13.5%) required surgical intervention, which was significantly associated with the presence of AWB (P = 0.04), APT (P = 0.01), and FF (P = 0.03). A predictive model that used these factors produced a receiver operating characteristic curve of 0.86. ConclusionsIn cases of equivocal abdominal CT scan findings to evaluate BAT in children, the presence of abdominal wall tenderness, AWB, or FF may be significant factors predicting more accurately the need for operative intervention. A predictive model using the combination of clinical and image findings might determine with more certainty, the need for surgical intervention in children with BAT and equivocal CT findings. Validation on a larger multi-institutional data set should be done.

Professional practice assessment: establishment of an institutional procedure to treat blunt abdominal trauma in emergency pediatric department.

The clinical process for the diagnosis of intra-abdominal lesion due to blunt abdominal trauma in children is not consistent. The goal of the present study was to assess the efficiency of our institutional procedure to manage hemodynamically stable pediatric patients with benign abdominal trauma and to select patients who need a radiological examination in an emergency pediatric department. This was a prospective cohort study from June 2008 to June 2010 in a pediatric emergency department. Pediatric patients with benign abdominal trauma and with stable hemodynamic parameters were included in the study. We conducted first clinical examination and clinical laboratory assessment for blood count, platelet count, hematocrit, serum glutamo-oxalacétique transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), lipase and urine. A second clinical examination was performed 2h later. Patients with biological abnormalities and/or with persistent pain underwent a computerized tomography (CT) of the abdomen. Our main criterion for judging was the presence of intra-abdominal lesion as revealed by the scan, which was considered as the gold standard. At the second clinical examination, patients without pain and with normal results for clinical laboratory assessment were sent home. A telephone call was made to the children 48h after the visit to the hospital emergency department. The secondary criterion for judging was the absence of complication in children who did not undergo the scan. A total of 111 children were included. Seventy-five children underwent the complete procedure. Thirty-four scans were performed. The scan revealed that 22 patients had an intra-abdominal lesion. Multivariate analysis indicated that SGOT higher than 34IU/L and the persistence of pain for more than 2h from the initial evaluation of trauma favored the development of intra-abdominal lesion. On the basis of these two criteria, we developed a predictive diagnostic score for post-traumatic intra-abdominal injuries with a high negative predictive value. For children who were sent home without a radiological examination, no complications were observed at 48h after the visit to the emergency department. The present protocol is a good approach to identify children at risk for intra-abdominal lesion who need a radiological examination and those who do not require any complementary examinations. The predictive diagnostic score could help young hospital doctors to assess blunt abdominal trauma.

Use of Cognitive Task Analysis to Understand Decision-making for Management of Blunt Abdominal Trauma in Children.

Study objectiveTo use cognitive task analysis (CTA) to elicit experts’ knowledge and outline their clinical decision-making process for the management of pediatric blunt abdominal injury.MethodsThis was a mixed-methods study involving in-depth interviews and a focus group with local experts followed by a review survey with a panel of experts from numerous pediatric trauma centers across the United States. All experts specialized in pediatric emergency medicine and pediatric trauma surgery.ResultsCommon themes that emerged during seven in-depth interviews with local experts included: clinical management, clinical reasoning, situational awareness, potential errors/novice traps, knowledge and skills, communication, and quality indicators. A total of 17 external experts responded to the survey for a response rate of 77%. External experts indicated that the information outlined in the CTA was complete and accurate, and provided valuable insights into the discrepancies that were unresolved during the focus group with local experts. They indicated agreement with potential errors/novice traps reported by local experts. Specifically, they indicated that the failure in coordinating team activities, maintaining the big picture, and performing a thorough physical examination posed serious threats to novices when managing a child with blunt abdominal trauma.ConclusionCTA may be applied to pediatric management of blunt abdominal injury to identify critical steps and potential errors to serve as a framework for education in pediatric emergency medicine and pediatric trauma surgery. Future studies may apply CTA to other types of traumatic injuries and/or involve an interdisciplinary approach.

Pancreatic injury due to blunt abdominal trauma in children

The diagnosis and management of pediatric pancreatitis is often difficult. Blunt abdominal trauma is one of the most common causes of pancreatitis in childhood. This is a review of patients with blunt pancreatic trauma. Medical records of all children with blunt pancreatic trauma who were admitted to our clinic between July 2007 and December 2017 were analyzed retrospectively. There were 17 patients (7 girls, 10 boys) with a mean age of of 9.89±2.57 years (range, 3-14 years). The time from trauma to admittance to the clinic was mean 17±21.43 days (range, 0-63 days). The mechanism of injury was bicycle injuries in 7 (41.66%), a fall from height in 6 (35.29%), motor vehicle accidents in 3 (17.64%), and a fall from a horse in 1 (5.88%). All patients had serum pancreatic amylase elevation on admission (average, 1002.71±966.36 IU/L; range, 116-3163 IU/L). All the childen were initially managed non-operatively. In 8 patients (52.94%) the traumatic pancreatitis was complicated by development of a pseudocyst. The average diameter of the pseudocyst was 11.5±3.45 cm. The pseudocysts were resolved in 5 cases with percutaneous ultrasonography-guided fluid drainage and the remaining 3 required open surgery (2 cystogastrostomy, 1 surgical drainage). The average length of hospital stay was 18±15.91 days (range, 2–48 days). There were no deaths and no complications in any patients. Non-operative management of traumatic pancreatitis in the absence of complete duct transection is safe in children. Percutaneous drainage of traumatic pancreatic pseudocysts can be used as an effective and useful treatment option.

259 Imaging for Pediatric Blunt Abdominal Trauma: Different Prediction Rules, Is the Outcome the Same?

Computerized tomography (CT) of abdominal/pelvis is the standard modality to diagnose intra-abdominal injury (IAI). Clinicians must weigh the risk-benefit of CT compared to degree of clinical suspicion of an IAI. PECARN (Pediatric Emergency Care Applied Research Network), BATIC (Blunt abdominal trauma in children) and Streck prediction rules have been published to help guide evaluation of these patients. PECARN uses history and physical examination findings, while BATIC and Streck use exam plus laboratory and imaging findings. Currently, there is not one gold standard protocol used in literature. Our goal is to compare these different prediction rules. This was a retrospective electronic chart review of all children age <18 years presenting for either Level 1 or 2 trauma activations at our pediatric emergency department between June 1st 2015 through June 30th 2017. Charts were manually reviewed for a mechanism concerning for abdominal trauma and demographic data, history and physical examination findings, laboratory and imaging results per prediction rules, revisits in 7 days were collected. The prediction rules were applied to all charts that had all data necessary. A score of zero for PECARN and Streck and score <5 for BATIC were defined as “low risk.” Patients with no CT, negative CT, and no new injury found on revisit were classified as “no IAI identified” and patients with positive CT or revisit with injury found as “IAI identified.” The results were compared via Fisher’s exact test. 249 patients met inclusion criteria with median age of 12 years. Overall 27 patients had positive CT results. Out of the low-risk patients, 119/121 (98.7%) in PECARN group, 48/56 (85.7%) in BATIC group and 21/21 (100%) in Streck group had no IAI identified. (Table 1) None of the low risk patients required any intra-abdominal intervention. No missed IAI was identified during revisits. Negative predictive values for the rules were significant for PECARN, BATIC and Streck (98.35%, 85.71% and 100%, respectively) (Table 2). PECARN and Streck have high NPV to predict low-risk patients who do not require CT. When laboratory studies are not done, PECARN is an effective means of excluding IAI for low-risk patients. Batic and Streck cohorts were smaller due to a large number of cases with missing data which could be due to clinician discretion of not obtaining labs due to well appearance of child. Overall, the results are similar to the past individual studies done on each rule. History and physical examination findings are of high importance and if there are no abnormal findings, patients with blunt torso trauma may not need further evaluation. This is the only study found in literature that has compared 3 different prediction rules.View Large Image Figure ViewerDownload Hi-res image Download (PPT)

39 Use of Cognitive Task Analysis to Understand Decisionmaking for Management of Blunt Abdominal Trauma in Children

39 Use of Cognitive Task Analysis to Understand Decisionmaking for Management of Blunt Abdominal Trauma in Children

Diagnosis and Management of Blunt Abdominal Trauma in Children: Experience from a Newly Established Facility

Diagnosis and Management of Blunt Abdominal Trauma in Children: Experience from a Newly Established Facility

Post-Traumatic Pancreatic Pseudocyst formation in a child: a case report

Background: Pancreatic pseudocyst formation following blunt abdominal trauma is lesser known entity in pediatric age group as compared to.pancreatitis. The pickup rate of various post traumatic hidden pathologies is now possible because of modern diagnostic armamentarium. Case summary:.We present a 3-years old girl who reported with blunt abdominal trauma and developed pancreatitis She subsequently developed pseudocyst in the follow up period of management. Modern diagnostic tools like Ultrasonography (USG), Computed Tomography (CT) and Magnetic resonance imaging (MRI) helped in clinching the diagnosis.Conclusion:Blunt abdominal trauma in children should be taken seriously in diagnostic as well management point of view. We can manage the case as per the complications with the help of various diagnostic modalities as was in our present case.