The Medicolegal Evaluation of Splenic Lesions and Diagnostic Criteria of Blunt Abdominal Trauma in Children Treated Conservatively
DOI:
https://doi.org/10.17986/blm.199613150Keywords:
intra-abdominal hemoraji, konservatif tedavi, künt abdominal travma, splenik travma, çocuklarAbstract
In this study; we aimed to determine whether the diagnosis and treatment protocols related to blunt abdominal trauma and splenic injury cause any changes in the view of Forensic Medicine. We evaluated the files of 58 blunt abdominal trauma cases that are followed up by the Department of Pediatric Surgery of Medical Faculty of Uludağ University among 1988-1993. Out of 33 cases (%57) who had intraabdominal hemorrhage by the virtue of blunt abdominal trauma, splenic injury is identificated in 16 cases (%48). 12 cases (%75) with splenic injury were treated conservatively, whereas 4 (%25) had an operation. In the treatment protocol, CT, US, peritoneal lavage, hemoglobin, hematocrite values are evaluated. The literature data concerning the blunt abdominal trauma is reviewed, the diagnosis and treatment methods are determinated and evaluated in the view of Forensic Medicine. Keywords: Intraabdominal Hemorrhage, Conservative Treatment, Blunt Abdominal Trauma, Splenic Trauma, Children.Downloads
References
Patrick A, Sutton E. Non-operative Management of Adult Splenic Injury ue to Blunt Abdominal Arauma; A Warning. Am J Surgery 1985;149:716-721. DOI: https://doi.org/10.1016/S0002-9610(85)80172-0
Wiig NJ. Splenic Injury; Aprospective Multicentre Study on Non-operative and Operative Treatment. British J Surgery 1987;74:310-313- DOI: https://doi.org/10.1002/bjs.1800740428
Balfanz JR, Nesbit ME, Jarvis C. Overwhelming Sepsis Following Splenectomi for Trauma. J Pediat-' rics 1976;88(3):458-459. DOI: https://doi.org/10.1016/S0022-3476(76)80267-3
Büyükünal C, Danişment Y, Teker D. Spleen-sa- ving Procedures in Pediatric Splenic Trauma. J Pediatrics 1987;74:350-352.
Strauch GO. Preservation of Splenic Function in Adults and Children with Injured Spleens. Am I Surgery 1979;137:478-483. DOI: https://doi.org/10.1016/0002-9610(79)90118-1
Luna GK, Dellinger EP. Non-operative Observation Therapy for Splenic Injuries: A Safe Therapeutic Option ? Am J Surgery 1987;153:462-468. DOI: https://doi.org/10.1016/0002-9610(87)90794-X
Cooney DR. Splenic and Hepatic Trauma in Children. Surg Clin North Am 1981 ;6l: 1165-173. DOI: https://doi.org/10.1016/S0039-6109(16)42539-9
Kohn JS, Clark DE, isler RJ, Pope CF. Is Computed Tomographic Grading of Splenic Injury Useful in the Nonsurgical Management Blunt Trauma? I Trauma 1994;36(3):385-389. DOI: https://doi.org/10.1097/00005373-199403000-00018
Leppaniemi A, Haapiainen R. Delayed Presentation of Blunt Splenic Injury. Am J Surgery 1988;55: 745-749. DOI: https://doi.org/10.1016/S0002-9610(88)80035-7
Doğruyol FI, Gürpınar A, Balkan E, et al. intraabdominal Hemorajilerde Konservatif Tedavi, Uludağ Univ. Tıp Fak. Derg 1994;1:37-41.
Akgür FM, Tanyel FC, Akhan O, et al. The Place of Ultrasonographic Examination in the Initial Evaluation of Children Sustaining Blunt Abdominal Trauma. J Ped Surgery 1993;28(1):78-81. DOI: https://doi.org/10.1016/S0022-3468(05)80361-6
Kirks DR,Caron KFI, Bisset GS. CT of Blunt Abdominal Trauma in Children: An Anatomic "Snapshot in Time". Radiology 1992;182: 631-632. DOI: https://doi.org/10.1148/radiology.182.3.1535871
Shanmugonathan K, Mirvis SE, Saver ER. Value of Contrast-Enhanced CT in Detecting Active Hemorrhage in Patients with Blunt Abdominal or Pelvic Trauma. AJR 1993; 16l ;65-69. DOI: https://doi.org/10.2214/ajr.161.1.8517323
Brick SH, Taylor GA. Hepatic and Splenic Injury in Children: Role of CT in the Decision for Laparotomy. Radiology 1987;165:643-646. DOI: https://doi.org/10.1148/radiology.165.3.3685344
Meyer DM, Thai ER, Cola D, WeigeltJA. Computed Tomography in the Evaluation of Children with Blunt Abdominal Trauma. Ann Surgery 1991; 213(3): 212-218. DOI: https://doi.org/10.1097/00000658-199103000-00005
Huang M, Liu M, Wu J, Shih H, Ko T, Lee C. Ultrasonography for the Evaluation of Hemoperitoneum during Resuscitation: A Simple Scoring System.J Trauma 1994; 36(2): 173-177. DOI: https://doi.org/10.1097/00005373-199402000-00003
Boulanger BR, Brenneman FD, Me Lellan BA, et al. A Prospective Study of Emergant Abdominal Sonography After Blunt Trauma. J Trauma 1995; 39(2): 325-330. DOI: https://doi.org/10.1097/00005373-199508000-00022
Göletti O, Ghiselli G, Lippolis P et al. The Role of Ultrasonography in Blunt Abdominal Trauma; Results in 250 Consecutive Cases. J Trauma 1994;36 (2): 178-181. DOI: https://doi.org/10.1097/00005373-199402000-00004
Branney SW, Wolfe RE, Moore EE et al. Quantitative Sensitivity of Ultrasound in Detecting Free Int- raperitoneal Fluid. J Trauma 1995;39(2):375-380. DOI: https://doi.org/10.1097/00005373-199508000-00032
Grieshop NA, Jacobsen LE, Gomez GA et al. Selective Use of Computed Tomography and Diagnostic Peritoneal Lavage in Blunt Abdominal Trauma. I Trauma 1995; 38(5):727-731. DOI: https://doi.org/10.1097/00005373-199505000-00008
Downloads
Published
Issue
Section
License
Copyright (c) 1996 Dilek Durak- Atınç Çoltu- Recep Fedakar
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
