scholarly journals Management of Pediatric Abdominal Trauma in Countries with Limited Resources: Is Computed Tomography Indispensable for a Good Result?

2021 ◽  
Author(s):  
Beaudelaire Romulus ASSAN ◽  
Monsoïa Gildas YASSEGOUNGBE ◽  
Djibril Morel SETO ◽  
Pautin Aldrico COVI ◽  
Houénoukpo KOCO ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Limited Resources ◽  
Road Accidents ◽  
Computed Tomography Scan ◽  
Traumatized Children ◽  
Serious Injuries ◽  
Tomography Scan

Abstract Background Abdominal trauma are a common cause of infant morbidity and mortality. Aim To assess the relevance of computed tomography scan for the management of abdominal trauma in children in countries with limited resources. Patients and method: It was a retrospective and descriptive study over 5 years in patients aged 0 to 15 years. Results Twenty four cases of abdominal trauma were collected. There were 14 boys and 10 girls with a sex ratio of 1.4. The average age was 8.7 years with extremes of 18 months and 15 years. The causes found were: road accidents (14 cases), home accident (6 cases), gambling accidents (3 cases) and one aggression. Traumas were divided into 83.3% (20 cases) of abdominal blunt and 16.7% (4 cases) of abdominal wound. Polytrauma accounted for 41.7% (10 cases). No computed tomography scan was ordered. The spleen was the most injured organ (11 cases) followed by the intestines (6 cases). The average length of hospital stay was 12.3 days with extremes of 3 and 15 days. The treatment was non-operative in 13 patients (54.2%) and surgical in 11 ones (45.8%). No deaths were noted in our series. Conclusion Abdominal trauma in children are potentially serious injuries. The treatment depends on the damaged organ and the patient's hemodynamic status. Computed tomography scan does not appear to be indispensable in the management of traumatized children in countries with limited resources.

scholarly journals Evaluation of three phases computed tomography scan findings in blunt abdominal trauma

2016 ◽  
Vol 4 (3) ◽  
pp. 170-174 ◽  
Author(s):  
Mahboub Pouraghaei ◽  
Mohammad Kazem Tarzamani ◽  
Farzad Kakaei ◽  
Payman Moharamzadeh ◽  
Samad Shams Vahdati ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Computed Tomography Scan ◽  
Tomography Scan ◽  
Three Phases

scholarly journals Role of Computed Tomography in Blunt Abdominal Trauma

2022 ◽  
Vol 19 (1) ◽  
pp. 55-58
Author(s):  
Digbijay Bikram Khadka ◽  
Anup Sharma ◽  
Ashish Bhatta ◽  
Prabir Maharjan ◽  
Sandesh Sharma
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Computed Tomography Scan ◽  
Female Ratio ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Time Of Presentation ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

Introduction: Blunt abdominal trauma is one of the commonly encountered surgical emergencies. The diagnostic modality that helps in optimum management of these patients includes chest and abdominal x-rays, Focused Assessment Sonography for Trauma scan and Computed Tomography. In selected hemodynamically stable patients who are candidates for non-operative management, Contrast Enhanced Computed Tomography is not considered essential and hence avoiding its own radiation hazards and decreasing extra financial burden to the patients. Aims: To evaluate whether Contrast Enhanced Computed Tomography is necessary or not in case of blunt trauma abdomen. Methods: This is a hospital based prospective study done in the department of surgery at Nepalgunj Medical College, Kohalpur conducted from October 2020 to March 2021. The patients with blunt abdominal trauma who were hemodynamically stable at the time of presentation and those who became stable after resuscitation were included. These patient’s detailed history was taken, clinical examination done. Focused Assessment Sonography for Trauma scan was done at the time of presentation along with chest x-ray and other necessary blood investigation. Data were analyzed with Statistical Package for Social Sciences version 25 and p-value <0.05 was taken as significant. Results: Out of total 53 patients, age group between 11-20 and 21-30 years comprising of 13 patients with male: female ratio of 1.94:1 were affected more. Fall injury, being the most common mode, comprised 20 patients. The commonest organ involved was spleen seen in 17 patients (32.1%), liver in 16 patients (30.2%). In 44 (83.0%) patients, Computed Tomography scan was done only in nine patients who were also managed conservatively, except one who underwent laparoscopic evacuation of collected blood. Seventeen (32.1%) patients underwent repeat ultrasonography without any new findings. Conclusion: Patients with blunt abdominal trauma with stable hemodynamics can be managed conservatively with limited use of Contrast Enhanced Computed Tomography scan.

Clinical recognition and management of pediatric blunt abdominal trauma without ultrasound or computed tomography scan in community hospitals in Mexico

1999 ◽  
Vol 34 (11) ◽  
pp. 1700-1702 ◽  
Author(s):  
Giovanni Porras-Ramírez ◽  
Francisco Ramírez-Reyes ◽  
Maía Helena Hernández-Herrera ◽  
Juan Domingo Porras-Hernández
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Computed Tomography Scan ◽  
Community Hospitals ◽  
Tomography Scan

scholarly journals Multiple Tracheal Diverticula in a COVID-19 Positive Patient

2021 ◽  
pp. 014556132110346
Author(s):  
Konstantinos Garefis ◽  
Konstantinos Tarazis ◽  
Konstantinos Gkiouzelis ◽  
Anastasia Kipriotou ◽  
Iordanis Konstantinidis ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Incidental Finding ◽  
Positive Patient ◽  
Computed Tomography Scan ◽  
Tracheal Diverticulum ◽  
Tomography Scan ◽  
Paratracheal Air Cyst

A tracheal diverticulum is a type of paratracheal air cyst and is usually an incidental finding after a computed tomography scan of the neck and thorax. With an incidence between 1% and 4% in adults, tracheal diverticula are rare entities that can be symptomatic in certain cases. We present a case of a COVID-19 positive patient who presented to our hospital and was diagnosed with multiple tracheal diverticula during his hospitalization.

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