Aortic Transection after Blunt Abdominal Trauma in a Child

2020 ◽  
Vol 66 ◽  
pp. 671.e11-671.e14
Author(s):  
Shivik Patel ◽  
Claudie McArthur Sheahan ◽  
Danielle D. Fontenot ◽  
Malachi Gerard Sheahan
Author(s):  
Dhawal Panchal ◽  
Firdaus Dekhaiya ◽  
Harin Tailor

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied  which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords:  Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.


1999 ◽  
Vol 40 (1) ◽  
pp. 83
Author(s):  
Jae Hung Lee ◽  
Hyeon Kyeong Lee ◽  
Chae Kyeong Lee ◽  
Kwan Min Ku ◽  
Ji Young Yoon ◽  
...  

1994 ◽  
Vol 35 (4) ◽  
pp. 319-322 ◽  
Author(s):  
J. Kinnunen ◽  
A. Kivioja ◽  
K. Poussa ◽  
E. M. Laasonen

1988 ◽  
Vol 2 (3) ◽  
pp. 184-189 ◽  
Author(s):  
Dennis Wood ◽  
George Berci ◽  
Leon Morgenstern ◽  
Margaret Paz-Partlow ◽  
D. Lorenz

1970 ◽  
Vol 171 (1) ◽  
pp. 67-72 ◽  
Author(s):  
T. L. Waltck ◽  
R. W. Crow ◽  
L. J. Humphrey ◽  
H. M. Kauffman

Author(s):  
Melanie Thanh Phuong Le ◽  
Jochen Herrmann ◽  
Michael Groth ◽  
Konrad Reinshagen ◽  
Michael Boettcher

Background Gallbladder perforation is a very rare finding in children. Clinical and radiografic presentations are often vague. Hence it is a challenging diagnosis, often missed during initial evaluation with potentially fatal consequences. The aim of this case report and review was to identify factors that might help to diagnose and manage future cases. Methods We present a case of gallbladder perforation in an 8-year-old child after blunt abdominal trauma caused by a handlebar in which imaging modalities such as ultrasound and magnetic resonance imaging (MRI) helped us to determine proper management. We identified and evaluated comparable cases for isolated traumatic gallbladder injury. A review of the recent literature was performed by online search in Pubmed and Google Scholar using “gallbladder injury in children”, “gallbladder perforation children”, “blunt abdominal trauma children” as keywords. We focused on articles exclusively in the pediatric section. The literature from the period 2000–2020 was taken into account to review the state of the art in diagnosis and management. Results and Conclusion Recent literature for gallbladder injury in pediatrics is sparse compared to the adult counterpart. Only eight published cases of isolated gallbladder injury in children were identified. Since the onset of symptoms may not develop acutely and often develops in an indistinct manner, radiografic examinations play an important role in the diagnostic progress. The authors advise caution in cases of blunt abdominal trauma especially involving handlebars, intraperitoneal free fluid, and severe abdominal pain. We advocate high suspicion of gallbladder perforation if the gallbladder wall displays discontinuation or cannot be definitively differentiated in sonografic examination. Echogenic fluid within the gallbladder should always lead to suspicion of intraluminal bleeding. Repeated clinical and imaging examinations are mandatory since the onset of signs and symptoms may be delayed. Key Points:  Citation Format


2021 ◽  
Vol 81 ◽  
pp. 105786
Author(s):  
Dinesh Prasad Koirala ◽  
Bibek Man Shrestha ◽  
Ankush Kansal ◽  
Diptee Poudel ◽  
Subita Neupane ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document