The records of all pediatric patients treated for blunt
abdominal trauma between January 2015 and May 2018 were examined (Fig.
An accurate, noninvasive diagnostic technique is needed in this condition because blunt
abdominal trauma is usually managed conservatively with the seldom need for exploratory laparotomy.
Clinical applications of contrast-enhanced ultrasound in the pediatric work-up of focal liver lesions and blunt
abdominal trauma: A systematic review.
Patients already operated outside for
abdominal trauma management.
The clinical application of FAST in emergency departments has been increasing for the initial screening of blunt
abdominal trauma due to its non-invasiveness, non-ionizing imaging capabilities, easy availability and usage, and quick diagnostic yield in most of the patients.
Screening for occult
abdominal trauma in children with suspected physical abuse.
Practice management guidelines for selective nonoperative management of penetrating
abdominal trauma. J Trauma 2010; 68: 721-733.
Diagnostic imaging of blunt
abdominal trauma in pediatric patients.
Delayed small bowel perforation due to blunt
abdominal trauma and periappendicitis in a patient with situs inversus totalis: a report of a case.
Passannante et al., "Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt
abdominal trauma: Results of a prospective, multi-institutional trial," Journal of Trauma--Injury Infection and Critical Care, vol.
Patients suffering penetrating
abdominal trauma requiring urgent laparotomy often do not undergo routine CT scans, which may have led to an earlier diagnosis before the complication of hematemesis in this case.