THE CHILDREN WHO LIVED - A CASE SERIES OF ABDOMINAL TRAUMA IN CHILDREN

Dr Mohan Kumar; Dr V Rohit Gopinath; Prof Jagannathan Muthukumaran; Dr M. Ananthan; Dr Vivek Shanmugam

Volume : IX, Issue : I, January - 2020

THE CHILDREN WHO LIVED - A CASE SERIES OF ABDOMINAL TRAUMA IN CHILDREN

Dr Mohan Kumar, Dr V Rohit Gopinath, Prof Jagannathan Muthukumaran, Dr M. Ananthan, Dr Vivek Shanmugam

Abstract :

Trauma is an important cause of mortality and morbidity in children. Abdominal trauma is the 3rd leading cause of trauma death. Abdominal injuries can have a varied presentation. The first case is a child 8 yrs of age who presented with a penetrating injury abdomen with an associated colonic perforation .He underwent a laparotomy and primary closure of the colonic perforation. He recovered well and is on follow up. 2nd case is a child 2 years of age who came with history of a gas cylinder falling on him. Xray abdomen done showed evidence of pneumoperitoneum. X ray left leg showed fracture shaft of tibia. Laparotomy done showed a gastric perforation. A wedge resection with anastomosis was done. POP cast was applied for the fracture tibia. Child recovered well and is on follow up. 3 rd child was ought with history of having been hit by a bus. On examination she was found to have an extensive perineal injury with pelvic bone and right neck of femur fracture. She underwent laparotomy with SPC insertion , perineal reconstruction with external fixator application of the pelvic fracture. She also underwent a closed reduction and internal fixation of the right neck of femur fracture. After thorough evaluation she subsequently underwent a colostomy closure with good functional and cosmetic results. These 3 cases are a small sample of the varied presentation that abdominal trauma can have