Trauma abdominal contuso em crianças

Blaude Gabriel Jacobina da Cruz Araujo; Thiago Capistrano Miranda; Vinicius Bernegozzi Bessa; Mariana Serpa Peixoto Menezes; Guilherme Marcondes Ferreira dos Santos; Gustavo Roque de Queiroz; Fernanda Freire Medeiros de Araújo; Vinicius Monteiro Martins da Silva; Ana Celina Cavalcante Oliveira; Ingrid Hovsepian de Souza; Paulo Henrique de Carvalho Batista; Brenno Lira Sotolani; Luiza Fernandez de Almeida Previtali; Bárbara dos Santos Tayt-Sohn; Gleyciane da Conceição Alves Souza

doi:10.5281/zenodo.13269402

Authors

Blaude Gabriel Jacobina da Cruz Araujo Universidade de Cuiabá - UNIC Author https://orcid.org/0009-0009-7753-2092
Thiago Capistrano Miranda Faculdade de Medicina de Teresópolis - UNIFESO Author https://orcid.org/0009-0003-3124-4841
Vinicius Bernegozzi Bessa Faculdade Assis Gurgacz - FAG Author https://orcid.org/0009-0002-6065-7170
Mariana Serpa Peixoto Menezes Centro Universitário de Maceió - UNIMA Author https://orcid.org/0009-0003-1567-3355
Guilherme Marcondes Ferreira dos Santos Universidade Federal do Rio Grande - RS/FURG Author https://orcid.org/0009-0002-8001-9125
Gustavo Roque de Queiroz Universidade Iguaçu - UNIG Author https://orcid.org/0009-0008-9540-9269
Fernanda Freire Medeiros de Araújo Faculdade de Medicina Nova Esperança - FAMENE Author https://orcid.org/0009-0003-9224-6461
Vinicius Monteiro Martins da Silva Centro Universitário Alfredo Nasser - UNIFAN Author https://orcid.org/0009-0008-6950-9362
Ana Celina Cavalcante Oliveira Universidade Evangélica de Goiás- UniEVANGÉLICA Author https://orcid.org/0009-0005-4827-3205
Ingrid Hovsepian de Souza Universidade de Uberaba - UNIUBE Author https://orcid.org/0000-0002-1744-5001
Paulo Henrique de Carvalho Batista Universidade Federal de Lavras - UFLA Author https://orcid.org/0000-0002-5266-4023
Brenno Lira Sotolani Universidade Federal do Recôncavo da Bahia - UFRB Author https://orcid.org/0009-0005-3680-5251
Luiza Fernandez de Almeida Previtali Universidade Católica de Pelotas - UCPel Author https://orcid.org/0009-0006-6109-0013
Bárbara dos Santos Tayt-Sohn Universidade Iguaçu - UNIG Author https://orcid.org/0009-0009-1979-4449
Gleyciane da Conceição Alves Souza Centro Universitário Cesmac - CESMAC Author https://orcid.org/0000-0001-9968-4278

DOI:

https://doi.org/10.5281/zenodo.13269402

Keywords:

Abdominal Injuries, Epidemiology, Imaging Diagnosis, Minimally Invasive Treatment

Abstract

Blunt abdominal trauma (BAT) in children is a significant medical concern due to its high incidence and potential for severe complications. This article provides a narrative review of the epidemiology, clinical manifestations, and recent advances in the treatment of BAT. We initially address the epidemiological distribution of BAT, highlighting its prevalence in children due to falls, motor vehicle accidents, and sports activities, being more common in boys and school-aged children. The clinical manifestations are primarily characterized by abdominal pain that can range from mild to severe, and in severe cases, signs of hemorrhagic shock. Complications such as internal bleeding and peritonitis pose significant challenges both in clinical management and in the quality of life of the pediatric patient. Diagnostic techniques for BAT include careful physical examination, ultrasound, and computed tomography to identify the extent of the injuries. Recent therapeutic advances are discussed with an emphasis on less invasive approaches, such as active surveillance and embolization for hemorrhage control, in addition to minimally invasive surgical techniques that reduce recovery time and postoperative complications. We conclude that despite progress in treatment, BAT remains a condition with a significant impact on public health, requiring innovative therapeutic strategies and personalized treatment approaches. This study highlights the importance of continuing research to improve diagnostic and therapeutic methods, aiming to enhance clinical outcomes and mitigate complications associated with blunt abdominal trauma in children.

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Blunt abdominal trauma in children

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