Diagnostic imaging of blunt abdominal trauma in pediatric patients

被引:51
作者
Miele, Vittorio [1 ]
Piccolo, Claudia Lucia [2 ]
Trinci, Margherita [1 ]
Galluzzo, Michele [1 ]
Ianniello, Stefania [1 ]
Brunese, Luca [2 ]
机构
[1] Azienda Osped S Camillo Forlanini, Dept Emergency Radiol, Circonvallaz Gianicolense 87, I-00152 Rome, Italy
[2] Univ Molise, Dept Med & Hlth Sci, Campobasso, Italy
来源
RADIOLOGIA MEDICA | 2016年 / 121卷 / 05期
关键词
Emergency radiology; Trauma imaging; Blunt abdominal trauma; Pediatric radiology; Solid organ injury; Contrast-enhanced ultrasound; CEUS; Contrast media; Multidetector computed tomography; MDCT; CONTRAST-ENHANCED ULTRASOUND; SPLENIC TRAUMA; CT CYSTOGRAPHY; FOLLOW-UP; ORGAN INJURY; RENAL TRAUMA; CHILDREN; CEUS; MANAGEMENT; BLADDER;
D O I
10.1007/s11547-016-0637-2
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Trauma is a leading cause of morbidity and mortality in childhood, and blunt trauma accounts for 80-90 % of abdominal injuries. The mechanism of trauma is quite similar to that of the adults, but there are important physiologic differences between children and adults in this field, such as the smaller blood vessels and the high vasoconstrictive response, leading to the spreading of a non-operative management. The early imaging of children undergoing a low-energy trauma can be performed by CEUS, a valuable diagnostic tool to demonstrate solid organ injuries with almost the same sensitivity of CT scans; nevertheless, as for as urinary tract injuries, MDCT remains still the technique of choice, because of its high sensitivity and accuracy, helping to discriminate between an intra-peritoneal form a retroperitoneal urinary leakage, requiring two different managements. The liver is the most common organ injured in blunt abdominal trauma followed by the spleen. Renal, pancreatic, and bowel injuries are quite rare. In this review we present various imaging findings of blunt abdominal trauma in children.
引用
收藏
页码:409 / 430
页数:22
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