Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 8, Number 11, November 2017, pages 340-346

The Challenge of Blunt Abdominal Trauma in Children: Report of a Case and Review of Management

Figures

Figure 1.
Figure 1. AAST grading of liver, spleen and renal injuries.
Figure 2.
Figure 2. CT showed grade III splenic injury with splenic laceration more than 3 cm and hematoma more than 50%: irregular hypodense area with indistinct margins, which is not enhanced after contrast medium administration. Kidney presented irregular non-enhancing renal parenchyma defect more than 1 cm in depth. Collecting system was not affected. That was considered grade III renal injury. Free intraabdominal blood was evidenced.
Figure 3.
Figure 3. CT on the seventh postoperative day demonstrated healing of splenic laceration with hyperdense and isodense areas in spleen, and healing of renal laceration. No free intraperitoneal blood was shown.
Figure 4.
Figure 4. US showed complete resolution: on the left spleen and on the right kidney.
Figure 5.
Figure 5. ATOMAC algorithm.