Pediatric surgery international
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Pediatr. Surg. Int. · Jul 1998
Case ReportsMultidisciplinary evaluation of the distended abdomen in critically ill infants and children: the role of bedside sonography.
Abdominal distention and metabolic acidosis are common in critically ill infants and children, and can be manifestations of an intra-abdominal catastrophe. This series demonstrates the value of bedside sonography (US) in this difficult assessment. Eight infants and children presented with the above situation. ⋯ Four patients survived: two had segmental ileal necrosis, one had localized gangrene of the jejunum (twice), and one had necrotic bowel from a closed-loop obstruction. The four who died had malrotation with volvulus (two), superior mesenteric venous thrombosis, and one was immunocompromised with pulmonary aspiration. We conclude that bedside US can be extremely valuable as an adjunct in assessing the abdomen and diagnosing gangrenous bowel in critically ill infants and children.
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Pediatr. Surg. Int. · Jul 1998
Case ReportsAn unusual domestic accident: a penetrating abdominal wound with intestinal evisceration in a child.
We report a penetrating abdominal injury due to a piece of glass, a very unusual domestic accident, in a 2-year-old boy who was admitted to the emergency department with an evisceration through the umbilicus. His mother reported that she was asleep when the boy came to her room, and did not know how it had happened. ⋯ He had poured himself a glass of water, and then fell on the glass. We could not find a similar case in the literature on domestic accidents.