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The importance of a multidisciplinary approach in a child with major abdominal penetrating trauma

Ottavio Adorisio1, Antonio Elia, Enrico Pinzauti

  • 1Department of Pediatric Surgery, Pediatric Urology Unit, Anna Meyer Children's Hospital, Florence, Italy. o.adorisio@meyer.it

Pediatric Emergency Care
|January 24, 2008
PubMed

Insights

A child survived a severe lawn mower accident involving extensive abdominal injuries and limb amputation. Prompt medical care, including surgery and pediatric intensive care, was crucial for recovery.

Area of Science:

  • Pediatric Surgery
  • Trauma Management
  • Emergency Medicine

Background:

  • Lawn mower accidents are a significant cause of pediatric trauma.
  • Severe abdominal injuries require immediate and specialized surgical intervention.

Observation:

  • A 2-year-old girl sustained critical injuries from a lawn mower accident.
  • Injuries included subtotal gut evisceration, intestinal ischemia, hepatic and gastric wounds, left forearm amputation, and hypovolemic shock.

Findings:

  • The patient underwent prompt and adequate management at a tertiary care institution.
  • Treatment involved rapid lesion evaluation, fluid resuscitation, surgical repair, and pediatric intensive care unit (PICU) admission.

Implications:

  • This case highlights the importance of rapid, multidisciplinary trauma care in pediatric abdominal emergencies.
  • Effective management can lead to positive outcomes even in cases of severe traumatic injuries.

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