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- W2103288619 abstract "A 7 year old boy presented to the accident and emergency department with severe, diffuse abdominal pain 30 minutes after a road traffic accident. He had been the only passenger wearing a seat belt in the car, which had been involved in a head-on collision.On admission he was alert with a pulse rate of 90 beats/min, respiratory rate of 30 breaths/min, and a blood pressure of 135/85 mm Hg. Auscultation of the chest was unremarkable and examination of his abdomen revealed diffuse tenderness, guarding, and absent bowel sounds. There was no blood at the anus or the external urethral meatus. An erect chest radiograph did not reveal any free intraperitoneal gas. Computed tomography of his abdomen is shown in fig1.Figure 1 Computed tomogram of the abdomen.(1): What does the computed tomogram show?(2): How should this child be managed?### QUESTION 1The computed tomogram of this child's abdomen shows transection of the posterior part of the right lobe of the liver.### QUESTION 2A high index of suspicion for liver trauma must be maintained when evaluating children who have sustained blunt abdominal trauma. Initial resuscitation of such a case of trauma …" @default.
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- W2103288619 title "Paediatric abdominal trauma" @default.
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- W2103288619 doi "https://doi.org/10.1136/pmj.77.909.e2" @default.
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