The current standard approach in solid organ injury due to blunt abdominal trauma in pediatric patients is nonoperative management, when there is no ongoing bleeding (6).
The use of contrast-enhanced ultrasound for the evaluation of solid abdominal organ injury in patients with blunt abdominal trauma. J Trauma Acute Care Surg 2012;73:1100-5.
Mohamed Fendi, a surgeon at al-Mowasat Hospital, said that the ER received on Friday a number of children who were injured by shrapnel from an explosion, including two children in a critical condition who had to undergo surgery due to sustaining serious abdominal trauma as well as trauma to their limbs.
(6) As demonstrated by Grimsby et al., even though the majority of pediatric patients who experience blunt abdominal trauma are managed conservatively, the rate of nephrectomy is up to three times higher when this population is treated at institutions focused on adult medicine as opposed to pediatric centers.
Blunt abdominal trauma (BAT) is frequently encountered in the emergency department, whether it occurs due to motor vehicle collision (MVC), fall, or other mechanism.