Pediatrics in Review
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(Pediatrics in Review. 2008;29:294-295.)
© 2008 American Academy of Pediatrics

In Brief

Blunt Abdominal Trauma

The first 20% of the full text of this article appears below.

Pediatric Blunt Abdominal Trauma. Wegner S, Colletti JE, Van Wie D. Pediatr Clin North Am. 2006;53 :243 –256[CrossRef][Medline] Blunt Abdominal Trauma in the Pediatric Patient. Potoka DA, Saladino RA. Clin Pediatr Emerg Med. 2005;6 :23 –31[CrossRef] The Diagnosis, Management, and Outcomes of Pediatric Renal Injuries. Buckley JC, McAninch JW. Urol Clin North Am. 2006;33 :33 –40[CrossRef][Medline]

Trauma is the leading cause of death and disability in the pediatric population. Blunt abdominal trauma accounts for more than 90% of all pediatric injuries and constitutes an important cause of morbidity and mortality in this age group. Children are at increased risk of intra-abdominal injury (IAI) for several reasons. First, because of their small size, any force applied to the abdomen involves a relatively large surface area, increasing the risk of multiorgan injury. Second, compared with an adult, the pediatric abdominal wall has decreased muscle mass and fat and the thoracic cage is more compliant, thus providing less protection for the liver and spleen.

The initial evaluation of a child who experiences blunt abdominal trauma must consider several important factors: the past medical history of the child, the mechanism of injury, and the physical findings. Consideration of these factors determines any additional . . . [Full Text of this Article]


Susan Guralnick, MD
 Stony Brook University Medical Center
Stony Brook, NY

Janet R. Serwint, MD, Consulting Editor, In Brief




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