Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma

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dc.contributor.authorOrak, Murat
dc.contributor.authorUstundag, Mehmet
dc.contributor.authorGuloglu, Cahfer
dc.contributor.authorGokdemir, Mehmet Tahir
dc.contributor.authorErdogan, Mehmet Oezguer
dc.contributor.authorAl, Behcet
dc.date.accessioned2024-04-24T17:47:45Z
dc.date.available2024-04-24T17:47:45Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND The aim of this study was to evaluate the significance of the ultrasonographic finding of pelvic fluid as a predictor of organ injury in pediatric patients with blunt abdominal trauma. METHODS We reviewed retrospectively the medical records of 85 consecutive pediatric patients who admitted to the Emergency Department of Dicle University from January 2008 to December 2008 with blunt abdominal trauma. Age, gender, mechanism of injury, isolated injuries, surgical interventions, hospitalization, and mortality were evaluated according to the location of fluid. RESULTS A total of 85 pediatric patients (63 male, 22 female; mean age: 7.88 +/- 3.403 years) with blunt abdominal trauma were included in the present study. Forty percent of the patients had intraperitoneal fluid, while 60% had pelvic fluid. The majority (35.3%) of patients applied due to falling from height. The difference between the mechanism of the injuries and location and presence of the fluid was not statistically significant (p>0.05). Twenty-nine patients had solid organ injuries. Splenic injuries showed the highest association with intraperitoneal fluid (p<0.001). Of the patients, 15.3% underwent exploratory laparotomy and 44.7% required blood transfusion. The presence of intraperitoneal fluid statistically increased the probability of the exploratory laparotomy and necessity of blood transfusion (p<0.001). Mortality rate was 4.8%. CONCLUSION In ultrasound examination, it was determined that the probability of solid organ injury was lower in the presence of pelvic fluid, while it was higher in the presence of intraperitoneal fluid outside the pelvis.en_US
dc.identifier.endpage159en_US
dc.identifier.issn1306-696X
dc.identifier.issue2en_US
dc.identifier.pmid20517771
dc.identifier.startpage155en_US
dc.identifier.urihttps://hdl.handle.net/11468/22726
dc.identifier.volume16en_US
dc.identifier.wosWOS:000275822500011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergency Departmenten_US
dc.subjectFluid Locationen_US
dc.subjectOrgan Injuryen_US
dc.subjectPediatric Traumaen_US
dc.subjectUltrasonographyen_US
dc.titleClinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal traumaen_US
dc.titleClinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma
dc.typeArticleen_US

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