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Hollow viscus injury in children: Starship Hospital experience

Saleh M Abbas1, Vipul Upadhyay

  • 1University of Auckland, Starship Children's Hospital, Auckland, New Zealand. salehabbas@orcon.net.nz

World Journal of Emergency Surgery : WJES
|June 6, 2007
PubMed

Insights

This study reviewed pediatric abdominal injuries, finding small bowel injuries most common. Computerized Tomography (CT scan) aids diagnosis of hollow visceral injuries (HVI) in children.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Starship Children's Hospital is a key pediatric trauma center.
  • Hollow visceral injuries (HVI) are a significant concern in pediatric abdominal trauma.
  • Understanding injury patterns and diagnostic methods is crucial for effective management.

Purpose of the Study:

  • To review cases of blunt and penetrating abdominal injuries in children.
  • To identify the most frequently injured hollow abdominal organs.
  • To evaluate the diagnostic utility of imaging in HVI.

Main Methods:

  • Retrospective chart review of pediatric patients admitted between January 1995 and December 2001.
  • Analysis of injury mechanisms, diagnosis, and patient outcomes.
  • Focus on injuries to the stomach, duodenum, small intestine, large intestine, and urinary bladder.

Main Results:

  • Thirty-two hollow visceral injuries were identified in 29 pediatric patients.
  • The small bowel was the most commonly injured hollow viscus.
  • Computerized Tomography (CT scan) demonstrated significant utility in diagnosing HVI.

Conclusions:

  • Small bowel injuries are prevalent in pediatric abdominal trauma.
  • CT scans are highly effective for diagnosing hollow visceral injuries in children.
  • This review provides insights into pediatric HVI management and diagnosis.

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