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[Blunt abdominal trauma in children and adolescents: treatment concepts in the acute phase]

M C Schunn1, J Schäfer2, F Neunhoeffer3

  • 1Klinik für Kinder- und Jugendmedizin, Abteilung für Kinderchirurgie und Kinderurologie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland. matthias.schunn@med.uni-tuebingen.de.

Chirurgie (Heidelberg, Germany)
|June 20, 2023
PubMed

Insights

Blunt abdominal trauma is a significant cause of pediatric mortality, often resulting from accidents. Nonoperative management is increasingly the standard of care for these injuries.

Area of Science:

  • Pediatric Trauma Surgery
  • Emergency Medicine
  • Injury Epidemiology

Context:

  • Blunt force trauma is the primary cause of death in children and adolescents.
  • Abdominal trauma ranks as the third leading cause of accidental death in this age group.
  • Abdominal injuries affect 2-5% of children involved in accidents, commonly from traffic incidents, falls, or sports.

Purpose:

  • To review the epidemiology and common injuries associated with blunt abdominal trauma in children.
  • To highlight the current management strategies for pediatric abdominal trauma.
  • To emphasize the role of nonoperative management (NOM) in treating these injuries.

Summary:

  • Blunt abdominal trauma is a critical concern in pediatric populations, with spleen, liver, and kidney injuries being most frequent.
  • While penetrating injuries are uncommon in Central Europe, blunt trauma sequelae are prevalent.
  • Nonoperative management (NOM) is now the established approach, guided by a multidisciplinary surgical team.

Impact:

  • This review underscores the importance of recognizing and effectively managing blunt abdominal trauma in children.
  • It advocates for the continued use and refinement of nonoperative strategies to improve outcomes.
  • Highlights the need for a coordinated, multidisciplinary approach in pediatric trauma care.

Keywords:
Kidney injuryLiver injuryNonoperative managementPediatric patientsSpleen injury

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