ArticlePediatric surgery international2023
Management of pediatric blunt abdominal trauma with split liver or spleen injuries: a retrospective study.
Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Diagnostic performance of contrast-enhanced ultrasound in traumatic solid organ injuries in children: a systematic review and meta-analysis.Pediatric radiology · 2025Pooled it
- Treat the patient, not the grade of injury: modern management of solid organ trauma in children.BMC surgery · 2026Article
- Nonoperative Management of Pediatric Liver Injury: Current Evidence, Clinical Indications, and Outcomes.Medicina (Kaunas, Lithuania) · 2026Review
- Glow Up Pediatric Minor Trauma Care: Detecting Adrenal Bleeding with Contrast-Enhanced Ultrasound in Emergency Settings.POCUS journal · 2025Article
- Controversies in contrast-enhanced ultrasound (CEUS): pregnancy, paediatric, abdominal trauma, complex renal cysts, and endovascular aortic repair follow-up.Insights into imaging · 2025Article
- Analysis and experience summary of 64 cases of pediatric closed liver trauma: a retrospective study from two centers in China.BMC surgery · 2025Article
- The Diagnosis and Management of Pediatric Blunt Abdominal Trauma-A Comprehensive Review.Diagnostics (Basel, Switzerland) · 2024Review
- Real-time evaluation of active bleeding severity in soft-tissue hematomas via contrast-enhanced ultrasound: a case series.Quantitative imaging in medicine and surgery · 2024Article
- Contrast-enhanced Ultrasound as a Method of Splenic Injury Assessment.Journal of medical ultrasoundReview
- CT radiation exposure and management of delayed pseudoaneurysms in pediatric liver and spleen injuries: A multicenter study.Acute medicine & surgeryArticle
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Authors and funding
20 authors at 6 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundBlunt abdominal trauma is a prevailing cause of pediatric morbidity and mortality. It constitutes the most frequent type of pediatric injuries. Contrast-enhanced sonography (CEUS) and contrast-enhanced computed tomography (CECT) are considered pivotal diagnostic modalities in hemodynamically stable patients.
aimTo report the experience in management of pediatric split liver and spleen injuries using CEUS and CECT. PATIENTS AND
methodsThis study included 246 children who sustained blunt abdominal trauma, and admitted and treated at three tertiary hospitals in the period of 5 years. Primary resuscitation was offered to all children based on the advanced trauma and life support (ATLS) protocol. A special algorithm for decision-making was followed. It incorporated the FAST, baseline ultrasound (US), CEUS, and CECT. Patients were treated according to the imaging findings and hemodynamic stability.
resultsAll 246 children who sustained a blunt abdominal were studied. Patients' age was 10.5 ± 2.1. Road traffic accidents were the most common cause of trauma; 155 patients (63%). CECT showed the extent of injury in 153 patients' spleen (62%) and 78 patients' liver (32%), while the remaining 15 (6%) patients had both injuries. CEUS detected 142 (57.7%) spleen injury, and 67 (27.2%) liver injury.
conclusionsCEUS may be a useful diagnostic tool among hemodynamically stable children who sustained low-to-moderate energy isolated blunt abdominal trauma. It may be also helpful for further evaluation of uncertain CECT findings and follow-up of conservatively managed traumatic injuries.
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