Retroperitoneal organ injury caused by anterior penetrating abdominal injury in children

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dc.contributor.authorOzturk, Hayrettin
dc.contributor.authorOtcu, Selcuk
dc.contributor.authorOnen, Abdurrahman
dc.contributor.authorDokucu, Ali Ihsan
dc.date.accessioned2024-04-24T17:08:12Z
dc.date.available2024-04-24T17:08:12Z
dc.date.issued2003
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: To describe the retroperitoneal organ injury pattern after anterior penetrating abdominal injury in children. Setting: The paediatric surgical department of a university teaching hospital. Patients and methods: All children presenting with firearm and stab wounds to the anterior abdomen between January 1983 and April 2001. Results: Forty-nine children (34%) with penetrating anterior abdominal wounds had retroperitoneal organ injury. The most injured organs were the descending colon in 17 patients (35%), ascending colon in eight patients (16%), and kidney in seven (14%). The most commonly associated injured organ was the small bowel. Postoperative septic complications were seen in 10 patients (20%). The most common postoperative complication was wound infection. When we compared patients with intraperitoneal organ injury with patients with retroperitoneal injury, there was no difference in parameters such as age, associated organ injury, morbidity and mortality between both groups. The main causative factor of retroperitoneal injuries was shotgun wounds, whereas it was stabbing in intra-abdominal injuries (P < 0.05). The number of injured organs and the hospital stay is significantly greater in retroperitoneal organ injuries, and the trauma scores such as the Injury Severity Score (P < 0.001) and the Penetrating Abdominal Trauma Index (P < 0.001) were found to be significantly higher. Conclusion: Retroperitoneal organ injury is commonly associated with anterior penetrating abdominal trauma. Even if there is no preoperative sign of retroperitoneal organ injury, an exploratory laparotomy and a meticulous retroperitoneal exploration should also be performed for associated retroperitoneal organ injury. (C) 2003 Lippincott Williams & Wilkins.en_US
dc.identifier.doi10.1097/01.mej.0000088429.19737.67
dc.identifier.endpage168en_US
dc.identifier.issn0969-9546
dc.identifier.issn1473-5695
dc.identifier.issue3en_US
dc.identifier.pmid12972889
dc.identifier.scopus2-s2.0-1542674336
dc.identifier.scopusqualityQ2
dc.identifier.startpage164en_US
dc.identifier.urihttps://doi.org/10.1097/01.mej.0000088429.19737.67
dc.identifier.urihttps://hdl.handle.net/11468/17250
dc.identifier.volume10en_US
dc.identifier.wosWOS:000209517500002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal Traumaen_US
dc.subjectChilden_US
dc.subjectFirearm Injuryen_US
dc.subjectRetroperitoneal Traumaen_US
dc.subjectStab Injuryen_US
dc.titleRetroperitoneal organ injury caused by anterior penetrating abdominal injury in childrenen_US
dc.titleRetroperitoneal organ injury caused by anterior penetrating abdominal injury in children
dc.typeArticleen_US

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