Blunt Traumatic Injuries of the Gastrointestinal and Biliary Tract in Childhood. Analysis of 16 Cases

Galifer, R B; Forgues, D.; Mourrégot, A.; Guibal, Michel; Allal, H.; Mekki, M.; Rizet, D.

doi:10.1055/s-2001-17157

Cited by 19 publications

(14 citation statements)

References 17 publications

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“…followed 19 children for 10 years and 21 children for 19 years and found only one duodenal hematoma after abdominal blunt trauma in each series (2). Galifer et al (3) studied pediatric blunt trauma for seven years and found 16 cases of gastrointestinal damage with only one case with gall bladder complications. Lin (4) reported a ten year-old girl with biliary emesis after abdominal blunt trauma,diagnosed with duodenal hematoma, managed nonoperatively.…”

Section: Discussionmentioning

confidence: 99%

Cholestasis in a Three Year-Old Child Following Abdominal Blunt Trauma: A Case Report

Mousavi

Karami

2013

Trauma Mon

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IntroductionExtra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome. The purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma.Case PresentationA three year-old girl presented with obstructive jaundice and vomiting following blunt abdominal trauma one month prior to referral. The child was sitting in her father’s lap when the accident occurred. She was then examined by an emergency physician to assess the cause of vomiting. An abdominal ultrasonography was performed and revealed dilatation of the common bile duct.ConclusionsTo the best of our knowledge, this is the first report of bile duct injury following blunt trauma and its emergency management.

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Section: Discussionmentioning

confidence: 99%

Cholestasis in a Three Year-Old Child Following Abdominal Blunt Trauma: A Case Report

Mousavi

Karami

2013

Trauma Mon

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“…Die Läsion ist häufig nicht radiologisch darstellbar, daher werden indirekte Zeichen wie freie Luft im Bauchraum im Röntgenbild sowie Darmwand-Enhancement oder intramurale Luft zur Diagnosestellung herangezogen. Dennoch wird die Diagnosestellung als schwierig eingeschätzt, und betroffene Patienten fallen erst im Verlauf durch persistierende abdominelle Schmerzen und Peritonitis auf [14]. Die konservative Therapie ist ausschließlich bei erstgradigen Verletzungen ohne Perforation des Hohlorgans mög-lich.…”

Section: Hohlorganverletzungenunclassified

“…Je nach Allgemeinzustand des Patienten und Begleitverletzungen kann eine Laparoskopie erwogen werden. Intraoperativ richtet sich das Vorgehen nach dem Befund und kann variieren zwischen einer isolierten Darmnaht, Segmentresektion mit Anastomose oder der Anuspraeter-Anlage [2,7,14].…”

Section: Hohlorganverletzungenunclassified

Konservative vs. chirurgische Therapie des Bauchtraumas

Zundel

Szavay

2015

Monatsschr Kinderheilkd

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“…U našoj studiji povrede 'eluca i duodenuma su bile udru'ene sa povredama mnogih organa i vaskularnih struktura u trbuhu, tako da nije bilo ni jedne izolovane povrede. Naša iskustva su sli~na sa iskustvima svetskih centara objavljenih u literaturi 3,8,11 . Udru'enost povreda je svakako uticala na te'inu stanja naših pacijenata, stepena iskrvarenja i morbiditet, tako da je i pristup u le~enju povredjenih bio vrlo kompleksan i uklju~ivao ~itav tim specijalista.…”

Section: Diskusijaunclassified

Surgical treatment of injuries of the stomach and duodenum in abdominal trauma

Jeremić

Dv³

et al. 2010

ACTA CHIR IUG

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Injuries of the stomach and duodenum have an important place in abdominal trauma, even though that the isolated injuries are rare. This kind of injury is most commonly associated with injuries of other abdominal organs. This retrospective study has been done at the Department of Emergency Surgery, Clinical Centre of Serbia, during the period from January 2004. until January 2009. The study included 36 patients diagnosed intraoperatively with the injury of the stomach and duodenum. The most common mechanism of harming were injuries due to blunt trauma (41.7%), the ones followed by gunshot wounds (30.5%), and the least were stab injuries (27.8%). With the majority of patients has been conducted sutures (46.3%) and serosation (30.6%) of the stomach and duodenum. In 24 (66.7%) patients on admission have been done ultrasound of the abdomen, in 6 (16.7%) abdominal CT was done, in 4 (11.1%) peritoneal lavage have been done and the x-ray of the abdomen was performed in 3 (8.3%) patients. Specific complications had 1 (2.8%) patient, while 14 (29.9%) patients have had non-specific complications. Total mortality has been 33.3%

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Blunt Traumatic Injuries of the Gastrointestinal and Biliary Tract in Childhood. Analysis of 16 Cases

Abstract: Incidence of blunt hollow viscus injuries is low in children. Hematomas are easily recognized by modern radiography, and simply managed nonoperatively. Diagnosis of perforations still remains difficult. This results in dangerous delays for lesions which need prompt repair.

Cited by 19 publications

References 17 publications

Cholestasis in a Three Year-Old Child Following Abdominal Blunt Trauma: A Case Report

Cholestasis in a Three Year-Old Child Following Abdominal Blunt Trauma: A Case Report

Konservative vs. chirurgische Therapie des Bauchtraumas

Surgical treatment of injuries of the stomach and duodenum in abdominal trauma

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