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[Abdominal injuries in children. The value of emergency abdominal ultrasonography]

A Elabbassi-Skalli1, L Ouzidane, K Maani

  • 1Service de radiologie pédiatrique, Hôpital d'enfants, CHU Ibn Rochd, Casablanca, Maroc.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|May 18, 1999
PubMed

Insights

Early ultrasonography is crucial for diagnosing pediatric abdominal trauma, identifying injuries in most cases. This non-invasive imaging aids in effective management and prognosis for children with abdominal injuries.

Area of Science:

  • Pediatric Surgery
  • Emergency Medicine
  • Diagnostic Imaging

Background:

  • Abdominal injuries are common in children.
  • Prompt assessment is vital for effective management.

Purpose of the Study:

  • To evaluate the utility of early ultrasonography in diagnosing pediatric abdominal trauma.
  • To determine the types and frequency of injuries detected by ultrasonography.

Main Methods:

  • Seventy children with abdominal trauma underwent early ultrasonography.
  • Surgical intervention was based on ultrasonography findings.

Main Results:

  • Abnormalities were detected in 52 out of 70 patients.
  • Common findings included hematic peritoneal effusion (26 cases), renal lesions (20 cases), and hepatic lesions (10 cases).
  • Surgery was performed in 6 cases; others were managed non-operatively with good outcomes.

Conclusions:

  • Ultrasonography is a primary diagnostic tool for pediatric abdominal trauma.
  • It provides early, efficient, and cost-effective morphological diagnosis.
  • Computerized tomography (CT) scans have specific indications in pediatric abdominal trauma cases.
Abstract

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