Penetrating abdominal injuries in children

Wabada, Samuel; Abubakar, Auwal; Chinda, John Y; Adamu, Sani; Bwala, Kefas John

doi:10.1097/01.xps.0000516205.41923.be

Cited by 2 publications

(8 citation statements)

References 33 publications

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“…For instance, older children are more likely to be affected by gunshot and stab injuries while toddlers may be more involved in falls at home. The male predominance observed in the current study is consistently reported by other authors [12,13]. This male predominance may be due to involvement of male children in assisting their families in farming and herding in low income countries [13].…”

Section: Discussionsupporting

confidence: 89%

“…Peak age group in our patients is comparable to the reports of other researchers [2,11]. But is at variance with the report of others [12]. The peak age affected in penetrating abdominal injury may depend on the predominant mechanism of injury.…”

Section: Discussionsupporting

confidence: 79%

“…Late presentation of our patients is evidenced in the median 2 days waiting time before presentation to the hospital. A study done in Maiduguri, Nigeria also reported delayed presentation of the patients with penetrating abdominal injury: One of their study patients presented after 6 days from the date of the penetrating abdominal trauma [12]. This late presentation may be due to poverty and ignorance that is prevalent in developing countries.…”

Section: Discussionmentioning

confidence: 97%

“…The gunshot injuries resulted from communal clashes and accidental discharges while playing with their fathers' firearms. Wabata et al also reported gunshot as a common cause of penetrating abdominal injury in children [12]. However, Ameh et al reported fall onto sharp objects within and around the home as the most common cause of penetrating abdominal injury in children [3].…”

Section: Discussionmentioning

confidence: 99%

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Penetrating Abdominal Trauma in Children: A Tertiary Hospital Experience in a Developing Country

Emeka¹

2021

JCRR

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Objective: Penetrating abdominal trauma in children is a life threatening emergency. The objective of this study was to evaluate our experience in the management of penetrating abdominal trauma in children in a tertiary hospital in Enugu, Nigeria. Materials and Methods: This was a retrospective study of children that were managed for penetrating abdominal injury at the pediatric surgery unit of Enugu State University Teaching Hospital, Enugu, Nigeria. Medical records of the patients over a 10-year period were evaluated. Results: During the study period, there were 21 cases of penetrating abdominal injuries with an age range of 9 to15 years (median: 11 years) and male to female ratio of 4.25:1. Fourteen (66.7%) patients presented after 48 hours from the time of the incident. Gunshot injury was the most common mechanism of injury. Five (23.8%) patients were in a clinical state of shock on presentation to the hospital and 10 (47.6%) patients had evisceration of intra-abdominal organ. Small intestine was the most damaged intra-abdominal organ while head injury was the most associated extra-abdominal injury. Surgical site infection was a common post-operative complication and 2 (9.5%) patients expired. Conclusion: Penetrating abdominal trauma in children is uncommon. Late presentation is common in low income countries and the small intestine is the most damaged intra-abdominal organ.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Penetrating Abdominal Trauma in Children: A Tertiary Hospital Experience in a Developing Country

Emeka¹

2021

JCRR

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“…Проникаючі поранення, що виникають, коли дитина падає або сідає на довгий, гострий предмет, відносяться до рідкісних за механізмом і частіше зустрічаються в дітей, що проживають у сільській місцевості [7,8]. Загальною рекомендацією щодо таких поранень є не видаляти предмет, що травмував, аж до можливості його видалення в умовах операційної через загрозу масивної кровотечі [6].…”

Section: клінічний випадокunclassified

Penetrating Abdominal Trauma in Children

Ксьонз¹,

Grytsenko²,

Grystenko³

et al. 2021

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Injury is the leading cause of death among children and adolescents, with about 10% of injuries being penetrating. Penetrating injuries that occur if a child falls or sits down on a long, sharp object are rare by their mechanism. So far we have experience in treating 5 children with penetrating injuries to the abdominal organs involving long sharp objects. 3 children were injured by falling on a metal fence, and the other 2 by sitting down on a metal pin and a scythe. The consequences of the injuries were damage to the small intestine (1), colon (4), stomach (1), kidney (1), urinary bladder (2). Clinical cases. Two brothers, aged 11 and 12, who fell out of a tree on a metal fence from a height of about 3 meters, were brought Pediatric Municipal Clinical Hospital of Poltava Municipal Council with metal rods in their bodies. After preoperative preparation, the children were operated on. Removal of the foreign objects was performed in the operating room. One of the boys was found to have damage to the stomach, transverse colon, kidney crushing. Suturing of wounds of hollow organs, and nephrectomy were performed. The second boy was found to have damage to the rectum, a colostomy was performed with its subsequent closure. A 16-year-old girl was injured when she sat down on a vertical scythe blade. During the operation, wounds of the ileum and mesentery of the hungry intestine were revealed, the wounds were sutured. All children were discharged after they recovered. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: penetrating abdominal trauma, children.

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Penetrating abdominal injuries in children

Cited by 2 publications

References 33 publications

Penetrating Abdominal Trauma in Children: A Tertiary Hospital Experience in a Developing Country

Penetrating Abdominal Trauma in Children: A Tertiary Hospital Experience in a Developing Country

Penetrating Abdominal Trauma in Children

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