Free fluid on abdominal computed tomography scan after blunt trauma does not mandate exploratory laparotomy in children

Journal of Pediatric Surgery

Volumn 35, Issue 6, 2000, Pages 990-993

  Beierle, Elizabeth A ^a,b   Chen, Mike K ^a   Whalen, Thomas V ^a   Doolin, Edward J ^a  

^a UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY   (United States)

^b Div of Plast and Reconstr Surgery   (United States)

Author keywords

Abdominal injury; Blunt trauma; Computed tomography; Intestinal injury; Pediatric

Indexed keywords

ABDOMINAL BLUNT TRAUMA; CHILD; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONFERENCE PAPER; FEMALE; HUMAN; INTESTINE INJURY; LAPAROTOMY; MALE; PRACTICE GUIDELINE; PRIORITY JOURNAL;

EID: 0034080428     PISSN: 00223468     EISSN: None     Source Type: Journal    
DOI: 10.1053/jpsu.2000.6950     Document Type: Conference Paper

References (29)

1. Taylor GA, Fallat ME, Potter BM, et al. The role of computed tomography in blunt abdominal trauma in children. J Trauma. 28:1988;1660-1664
2. Kane NM, Cronan JJ, Dorfman GS, et al. Pediatric abdominal trauma: Evaluation by computed tomography. Pediatrics. 82:1988;11-15
3. Beaver BL, Colombani PM, Fal A, et al. The efficacy of computed tomography in evaluating abdominal injured in children with major head trauma. J Pediatr Surg. 22:1987;1117-1122
4. Sherck JP, Oakes DD. Intestinal injuries missed by computed tomography. J Trauma. 30:1990;1-6
5. Jerby BL, Attorri RJ, Morton D. Blunt intestinal injury in children: The role of the physical examination. J Pediatr Surg. 32:1997;580-584
6. Rizzo MJ, Federle MP, Griffiths BG. Bowel and mesenteric injury following blunt abdominal trauma: Evaluation with CT. Radiology. 173:1989;143-148
7. Sherck J, Shatney C, Sensaki K, et al. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg. 168:1995;670-675
8. Mirvis ST, Gens DR, Shanmuganathan K. Rupture of the bowel after blunt abdominal trauma: Diagnosis with CT. AJR. 159:1992;1217-1221
9. Brasel KJ, Olson CJ, Stafford RE, et al. Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma. J Trauma. 44:1998;889-892
10. Cunningham MA, Tyroch AH, Kaups KL, et al. Does free fluid on abdominal computed tomographic scan after blunt trauma require laparotomy? J Trauma. 44:1998;599-603
11. Eanniello VC, Gabram SG, Eusebio R, et al. Isolated free fluid on abdominal computerized tomographic scan: An indication for surgery in blunt trauma patients? Conn Med. 58:1994;707-710
12. Federle MP, Jeffrey RB. Hemoperitoneum studied by computed tomography. Radiology. 148:1983;187-192
13. Sivit CJ, Taylor GA, Bulas DI, et al. Blunt trauma in children: Significance of peritoneal fluid. Radiology. 178:1991;185-188
14. Levine CD, Patel UJ, Wachsberg RH, et al. CT in patients with blunt abdominal trauma: Clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR. 164:1995;1381-1385
15. Hulka F, Mullins RJ, Leonardo V, et al. Significance of peritoneal fluid as an isolated finding on abdominal computed tomographic scans in pediatric trauma patients. J Trauma. 44:1998;1069-1072
16. Newman KD, Bowman LM, Eichelberger MR, et al. The lap belt complex: Intestinal and lumbar spine injury in children. J Trauma. 30:1990;1133-1139
17. Sivit CJ, Taylor GA, Newman KD, et al. Safety-belt injuries in children with lap-belt ecchymosis: CT findings in 61 patients. AJR. 157:1991;111-114
18. Tso EL, Beaver BL, Haller JA. Abdominal injuries in restrained pediatric passengers. J Pediatr Surg. 28:1993;915-919
19. Albanese CT, Meza MP, Gardner MJ, et al. Is computed tomography a useful adjunct to the clinical examination for the diagnosis of pediatric gastrointestinal perforation from blunt abdominal trauma in children? J Trauma. 40:1996;417-421
20. Moss RL, Musemeche CA. Clinical judgment is superior to diagnostic tests in the management of pediatric small bowel injury. J Pediatr Surg. 31:1996;1178-1182
21. Brown RA, Bass DH, Rode H, et al. Gastrointestinal tract perforation in children due to blunt abdominal trauma. Br J Surg. 79:1992;522-524
22. Fischer RP, Miller-Crotchett P, Reed RL. Gastrointestinal disruption: The hazard of nonoperative management in adults with blunt abdominal injury. J Trauma. 28:1988;1445-1449
23. Cobb LM, Vinocur CD, Wagner CW, et al. Intestinal perforation due to blunt trauma in children in an era of increased nonoperative treatment. J Trauma. 26:1986;461-463
24. Bensard DB, Beaver BL, Besner GE, et al. Small bowel injury in children after blunt abdominal trauma: Is diagnostic delay important? J Trauma. 41:1996;476-483
25. Morrison JE, Wisner DH, Bodai BI. Complications after negative laparotomy for trauma: Long-term follow-up in a health maintenance organization. J Trauma. 41:1996;509-513
26. Renz BM, Feliciano DV. Unnecessary laparotomies for trauma: A prospective study of morbidity. J Trauma. 38:1995;350-356
27. Ross SE, Dragon GM, O'Malley KF, et al. Morbidity of negative celiotomy in trauma. Injury. 26:1995;393-394
28. Petersen SR, Sheldon GF. Morbidity of a negative finding at laparotomy in abdominal trauma. Surg Gynecol Obst. 148:1979;23-26
29. Sivit CJ, Taylor GA, Bulas DI, et al. Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182:1992;723-726