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Laparoscopy in pediatric abdominal trauma

R R Gandhi1, G Stringel

  • 1Department of Surgery, Westchester County Medical Center, New York Medical College, Valhalla 10594, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 7, 1999
PubMed
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Laparoscopy is effective for diagnosing and treating hollow viscus perforation in pediatric trauma patients. This minimally invasive approach offers a safe and successful alternative to traditional surgery for abdominal injuries.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Trauma Management

Background:

  • Laparoscopy use is increasing in pediatric trauma.
  • A new algorithm may involve laparoscopy for hemodynamically stable patients with suspected hollow viscus perforation.

Observation:

  • A 4-year-old boy with abdominal trauma after a motor vehicle accident presented with suspected intestinal perforation.
  • He was hemodynamically stable with free fluid in the pelvis on CT scan.
  • Clinical deterioration prompted diagnostic laparoscopy.

Findings:

  • Laparoscopy identified a jejunal perforation, which was repaired laparoscopically.
  • Mesenteric hematomas and an unsuspected splenic laceration were also noted.
  • The patient recovered uneventfully.

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Implications:

  • Early laparoscopy is effective in diagnosing and treating pediatric abdominal trauma when hollow viscus injury is suspected.
  • Laparoscopy provides a viable alternative to celiotomy in select pediatric trauma cases.
  • This case highlights the diagnostic and therapeutic benefits of laparoscopy in challenging pediatric abdominal trauma scenarios.