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Related Experiment Videos

Small bowel injuries in children.

A J Holland1, D T Cass, M J Glasson

  • 1Department of Surgical Research and Douglas Cohen Department of Paediatric Surgery, The New Children's Hospital, Royal Alexandra Hospital for Children, Westmead, New South Wales, Australia.

Journal of Paediatrics and Child Health
|June 10, 2000
PubMed
Summary

Persistent tachycardia in children after blunt abdominal trauma may indicate small bowel injury (SBI). Delayed diagnosis of SBI can lead to severe complications and death.

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Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Abdominal Imaging

Background:

  • Small bowel injury (SBI) is a critical consequence of blunt abdominal trauma in children.
  • Early identification and management of SBI are crucial for patient outcomes.

Purpose of the Study:

  • To identify common features of pediatric small bowel injury.
  • To investigate the consequences of delayed diagnosis in these cases.

Main Methods:

  • Retrospective case review of children diagnosed with traumatic SBI.
  • Data collected from January 1988 to November 1999.

Main Results:

  • Twenty-eight pediatric patients with SBI were identified; 71% resulted from road trauma.
  • Tachycardia was a common finding (82%), especially with intestinal perforations.

Related Experiment Videos

  • Abnormal CT scans with contrast accurately detected perforations and mesenteric tears; diagnosis was delayed in 6 patients, leading to one death from sepsis.

    • Conclusions:

    • Persistent tachycardia following blunt abdominal trauma necessitates the exclusion of SBI.
    • Delayed diagnosis of pediatric small bowel injury is linked to increased morbidity and mortality.