Pitfalls of nonoperative management of blunt abdominal trauma in children in Korea

Yoo, Seong Yul; Lim, Kyung-Soo; Kang, Seok-Min; Kim, Chong-Seok

doi:10.1016/s0022-3468(96)90011-1

Cited by 16 publications

(9 citation statements)

References 25 publications

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“…Another mechanism of spleen injury is by direct transabdominal wall blow without any evidence of chest trauma. Moreover, pleural effusion, left lung atelectasis and high positioning of the left hemidiaphragm have been observed in these splenic injured patients 5−8 . In the present series, 12 patients (44.4%) had PPI.…”

Section: Discussionsupporting

confidence: 50%

See 1 more Smart Citation

Pleuro‐pulmonary involvement in children with blunt splenic trauma

Gorenstein¹,

Witzling²,

Haftel³

et al. 2003

J Paediatrics Child Health

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Section: Discussionsupporting

confidence: 50%

“…Moreover, pleural effusion, left lung atelectasis and high positioning of the left hemidiaphragm have been observed in these splenic injured patients. [5][6][7][8] In the present series, 12 patients (44.4%) had PPI. Six (22.2%) resulted from primary chest trauma, while in the other six, it was a late complication.…”

Section: Discussionmentioning

confidence: 92%

Pleuro‐pulmonary involvement in children with blunt splenic trauma

Gorenstein¹,

Witzling²,

Haftel³

et al. 2003

J Paediatrics Child Health

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“…Subcapsular hepatic hematomas, in particular, are reported in pregnant women with preeclampsia, with or without the HELLP syndrome (hypertension, elevated liver enzymes, low platelets) [14][15][16]. In older patients trauma is often the cause of hepatic hemorrhages, including subcapsular hematomas, particularly when hepatomegaly is present [17,18].…”

Section: Discussionmentioning

confidence: 99%

Hepatic Subcapsular Hematomas in Fetuses and Neonatal Infants

et al. 1999

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In fetuses and neonates hepatic subcapsular hematomas are relatively common lesions and may be life-threatening. Conditions previously associated with these hematomas include trauma, coagulopathies, hypoxia, sepsis, pneumothorax, maternal diseases, and placental lesions. In this study of 755 perinatal autopsies, hepatic subcapsular hematomas were found in 52 (6.9%) cases, including 31 stillborn fetuses and 21 liveborn infants. The average body weight was 690 g. A comparison group consisted of 52 temporally proximal autopsies of fetuses and neonates without hematomas. Body weights, gender, maternal age, and stillbirth or postnatal survival were matched as closely as possible while evaluating the presence or absence of sepsis, pneumothorax, cerebral germinal matrix hemorrhage, trauma, coagulopathy, placental lesions, and maternal diseases. Sepsis was associated with 62% of the cases with hepatic subcapsular hematomas and with 25% of the comparison group (P =.0001). Group B streptococcus infection was the most common cause of sepsis, but many different organisms were isolated. Cerebral germinal matrix hemorrhages were present in 35% of the cases with hematomas and in 14% of the comparison group (P =.0001). No other lesions or conditions were statistically different in the study group versus the comparison group. The delicacy of the hepatic capsule and its connections to the collagen along the sinusoids provide insight for the pathogenesis of hematomas in premature fetuses and neonates. We conclude that sepsis is present in most perinatal cases of hepatic subcapsular hematomas and that such patients also frequently have cerebral germinal matrix hemorrhages. Each of these lesions is a greater hazard among very small premature fetuses or neonates than among older fetuses and neonates.

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“…Sempre que a cirurgia for necessária, a laparoscopia deve ser considerada. Ela permite avaliação precoce de toda a cavidade, lavagem do peritônio, Espera-se risco significativo de mortalidade quando esse escore for < 8 48,49 diferenças no tipo e localização dos hospitais 3,6,18,21 .…”

Section: Necessidade De Tratamento Cirúrgicounclassified

Análise de eficácia e segurança do tratamento conservador do trauma abdominal contuso em crianças: estudo retrospectivo. Tratamento conservador de trauma abdominal contuso em crianças

Cunha

FILHO

Miranda

et al. 2023

Rev. Col. Bras. Cir.

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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.

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Pitfalls of nonoperative management of blunt abdominal trauma in children in Korea

Cited by 16 publications

References 25 publications

Pleuro‐pulmonary involvement in children with blunt splenic trauma

Pleuro‐pulmonary involvement in children with blunt splenic trauma

Hepatic Subcapsular Hematomas in Fetuses and Neonatal Infants

Análise de eficácia e segurança do tratamento conservador do trauma abdominal contuso em crianças: estudo retrospectivo. Tratamento conservador de trauma abdominal contuso em crianças

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