The is the most frequently injured organ, followed closely by the liver . Renal injuries occur in roughly 10% of cases, while pancreatic and hollow viscus (bowel) injuries are rarer but associated with higher diagnostic delays and complications. Diagnostic Evaluation
Often used as a rapid screening tool in the Emergency Department . While useful for detecting free fluid, it has lower sensitivity for specific organ injuries compared to CT. Blunt Abdominal Trauma in Children
Accurately assessing a child after BAT is challenging because physical examinations can be unreliable, especially in the presence of distracting injuries or altered mental status. The is the most frequently injured organ, followed
An emerging modality that avoids radiation, particularly useful for monitoring minor to moderate injuries or follow-up. While useful for detecting free fluid, it has
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Blunt abdominal trauma in children requires a multidisciplinary approach that prioritizes rapid identification while minimizing unnecessary radiation and surgical intervention. While diagnostic tools like CT remain essential, the success of non-operative management highlights a growing focus on organ-sparing treatments that improve long-term outcomes for pediatric patients.
The American Pediatric Surgical Association (APSA) guidelines emphasize that even high-grade liver or spleen injuries can often be managed with intensive monitoring and activity restrictions rather than surgery.
