Gastrointestinal Perforation with Blunt Abdominal Trauma in Children.
Children (Basel)
; 11(6)2024 May 21.
Article
en En
| MEDLINE
| ID: mdl-38929192
ABSTRACT
Gastrointestinal tract perforation is uncommon in children, accounting for <10% of cases of blunt abdominal trauma. Diagnosis of bowel perforation in children can be challenging due to poor diagnostic imaging accuracy. Intra-abdominal free air is found only in half of the children with bowel perforation. Ultrasound findings are nonspecific and suspicious for perforation in only two-thirds of cases. A computer tomography (CT) scan has a sensitivity and specificity of 50% and 95%, respectively. Surgical decisions should be made based on clinical examination despite normal CT results. Management of bowel perforation in children includes primary repair in 50-70% and resection with anastomosis in 20-40% of cases.
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Banco de datos:
MEDLINE
Idioma:
En
Revista:
Children (Basel)
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos