Purpose or Case Report: Contrast Enhanced Ultrasound (CEUS) has a proven utility in the adult population. It is a safe, accurate and easily accessible technique of pathology assessment. Within the Pediatric cohort, CEUS offers a significant advantage as it potentially negates the need for repetitive radiation exposure resultant of multiple CT examinations.
Methods & Materials: As a Level One Major Trauma Centre in London, we have been examining the use of this under utilized technique in our pediatric trauma population. This case series will demonstrate how CEUS has played an integral part in management decisions of our pediatric patients with liver, splenic and renal trauma within a multidisciplinary setting.
Results: The findings on CEUS directly determined: the need for arterial embolisation; the detection of secondary complications, such as pseudoaneurysm with repeat studies to ensure resolution; as well as facilitate safer discharges as an endpoint of conservative management.
Conclusions: CEUS offers a reliable and effective method of follow-up of the solid abdominal organ injury in the pediatric population, and has the added benefit of allowing safe repeated examinations as it eliminates radiation dose concerns.