J Paediatr Child Health. 2000 Jun;36(3):265-9.

Small bowel injuries in children.

Holland AJ, Cass DT, Glasson MJ, Pitkin J.

Source

Department of Surgical Research and Douglas Cohen Department of Paediatric Surgery, The New Children's Hospital, Royal Alexandra Hospital for Children, Westmead, New South Wales, Australia.

Abstract

OBJECTIVE:

To determine the common features of small bowel injury (SBI) in childhood and the consequences of delayed diagnosis.

METHODOLOGY:

A retrospective case review was performed of children with traumatic SBI between January 1988 and November 1999.

RESULTS:

Twenty-eight patients were identified with SBI. Road trauma accounted for 71% of them. Tachycardia was present on admission in 82% of patients with SBI including all but one of the intestinal perforations. SBI was associated with a Chance fracture of the lumbar spine in three patients (11%). An abdominal computed tomography scan with intravenous contrast was abnormal in all patients with a perforation or mesenteric tear. Diagnosis was delayed in six patients, one of whom died as a result of sepsis from a small bowel perforation.

CONCLUSIONS:

Persistent tachycardia with an appropriate mechanism of injury following blunt abdominal trauma requires active exclusion of SBI. Delayed diagnosis is associated with significant morbidity and mortality.

PMID:: 10849230; [PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

COS Scholar Universe

Libraries

LinkOut Holdings

Supplemental Content

Related citations

Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. [J Trauma. 2000]
Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience.
Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. J Trauma. 2000 Mar; 48(3):408-14; discussion 414-5.
Small bowel injury in children after blunt abdominal trauma: is diagnostic delay important? [J Trauma. 1996]
Small bowel injury in children after blunt abdominal trauma: is diagnostic delay important?
Bensard DD, Beaver BL, Besner GE, Cooney DR. J Trauma. 1996 Sep; 41(3):476-83.
Gastrointestinal perforation following blunt abdominal trauma. [East Afr Med J. 2007]
Gastrointestinal perforation following blunt abdominal trauma.
Sule AZ, Kidmas AT, Awani K, Uba F, Misauno M. East Afr Med J. 2007 Sep; 84(9):429-33.
Review A review of intestinal injury from blunt abdominal trauma. [Aust N Z J Surg. 1995]
Review A review of intestinal injury from blunt abdominal trauma.
Munns J, Richardson M, Hewett P. Aust N Z J Surg. 1995 Dec; 65(12):857-60.
Review Cervical spine injuries in children: a review of 103 patients treated consecutively at a level 1 pediatric trauma center. [J Pediatr Surg. 2001]
Review Cervical spine injuries in children: a review of 103 patients treated consecutively at a level 1 pediatric trauma center.
Brown RL, Brunn MA, Garcia VF. J Pediatr Surg. 2001 Aug; 36(8):1107-14.

See reviews... See all...

Cited by 1 PubMed Central article

Hollow viscus injury in children: Starship Hospital experience. [World J Emerg Surg. 2007]
Hollow viscus injury in children: Starship Hospital experience.
Abbas SM, Upadhyay V. World J Emerg Surg. 2007 Jun 4; 2:14. Epub 2007 Jun 4.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Small bowel injuries in children.
Small bowel injuries in children.
J Paediatr Child Health. 2000 Jun ;36(3):265-9.

PubMed
Near-infrared spectroscopy-derived tissue oxygen saturation in battlefield injur...
Near-infrared spectroscopy-derived tissue oxygen saturation in battlefield injuries: a case series report.
World J Emerg Surg. 2009 Jun 19 ;4:25.

PubMed
Supraclavicular nerve entrapment due to clavicular fracture callus.
Supraclavicular nerve entrapment due to clavicular fracture callus.
J Shoulder Elbow Surg. 2007 Sep-Oct ;16(5):e13-4. Epub 2007 Mar 23 .

PubMed
Developmental venous anomalies and sinus pericranii in the blue rubber-bleb nevu...
Developmental venous anomalies and sinus pericranii in the blue rubber-bleb nevus syndrome. Case report.
J Neurosurg. 2003 Aug ;99(2):409-11.

PubMed
Munchausen syndrome in the emergency department mostly difficult, sometimes easy...
Munchausen syndrome in the emergency department mostly difficult, sometimes easy to diagnose: a case report and review of the literature.
World J Emerg Surg. 2009 Nov 12 ;4:38.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to: