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Pediatric duodenal perforation missed on computed tomography
1Department of Emergency Medicine, Kern Medical Center, Los Angeles, CA, USA.
Annals of Emergency Medicine
|November 5, 1997
Summary
Blunt abdominal trauma in children can cause subtle duodenal perforations. Early diagnosis relies on monitoring liver enzymes and pancreatic enzymes, as imaging is often unreliable for detecting hollow viscus injuries.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Gastrointestinal Surgery
Background:
- Blunt abdominal trauma is a significant cause of injury in children.
- Gastrointestinal perforation following blunt trauma can present insidiously.
- Hollow viscus injuries may not be immediately apparent on initial diagnostic workups.