Main Logo

Society for Pediatric Radiology – Poster Archive


Final ID: Poster #: SCI-077

Frequency of abdominal injuries in children with suspected non-accidental trauma

Purpose or Case Report: Abdominal injuries account for a relatively small percentage of non-accidental trauma. Previous estimates range from 0.5% to 11%. Despite this, abdominal injuries are the second leading cause of death in non-accidental trauma after head injury. Our objective is to assess the prevalence of abdominal injuries in the setting of suspected non-accidental trauma within a large urban children's medical center.
Methods & Materials: After IRB approval, from a database of nearly 3000 patients who were assessed for possible abuse from 1997-2012, 177 children with suspected non-accidental trauma who obtained both an abdominal CT and skeletal survey were identified. 3 patients diagnosed with systemic disease (tuberous sclerosis, neuroblastoma, and hepatoblastoma) were excluded. The resulting database consisted of 174 patients. All imaging studies including CT abdomen, CT brain and skeletal surveys were reviewed.
Results: Of the 174 patients, 72 were girls and 102 boys with age range from 1 to 139 months, mean age of 18 months. 30 patients (17 %) were found to have abdominal organ injuries, to include visceral, hollow organ, and vascular injuries.
These 30 patients were 21 boys, 9 girls with age range 1 month to 72 months, (mean age 29 months). Injuries included 22 liver (73%), 3 bowel (10%), 3 pancreatic (10%), 3 adrenal (10%), 1 renal (3%), 1 splenic (3%), 1 bladder (3%), and 1 aortic tear (3%). 13 of the 30 patients (43%) had intracranial injuries. 16 of the 30 patients (53%) had concurrent skeletal injuries, most commonly rib fractures (13/16, or 81%).
A separate group of 34 of the 174 patients (20%), 22 boys, 12 girls with age range 1 to 130 months (mean 21 months) had nonspecific abdominal CT findings including intraperitoneal fluid and equivocal abdominal organ injuries. 21 of these patients (62%) had intracranial injuries and 20 (59%) had skeletal injuries.
Conclusions: Abdominal organ injuries appear to be more common than previously reported in the literature. These findings support diligent screening for abdominal injuries in patients with suspected non-accidental trauma. Abdominal injuries are frequently accompanied by intracranial as well as skeletal injuries. A subgroup of patients with nonspecific/equivocal abdominal CT findings also had a high prevalence of associated intracranial and skeletal injuries; this group may warrant additional scrutiny.
  • Heitzmann, Mark  ( Children's National Medical Center , Poolesville , Maryland , United States )
  • Shalaby-rana, Eglal  ( Children's National Medical Center , Poolesville , Maryland , United States )
  • Deye, Katherine  ( Children's National Medical Center , Poolesville , Maryland , United States )
Session Info:

Electronic Exhibits - Scientific


Scientific Exhibits - Scientific

More abstracts on this topic:
Chronic Subdural Hemorrhage: What We Have Learned

Tutman Jeffrey, Hedlund Gary

A study of radiological features of healing in infant long bone fractures

Warner Christopher, Maguire Sabine, Miller Angie, Trefan Laszlo, Fadell Michael

More abstracts from these authors:
How Long will I Glow in the Dark? Updates to I-131 Hyperthyroid Therapy with Focus on Duration of Post-therapy Radiation Precautions

Mirza Sobia, Shalaby-rana Eglal, Kovats Catalina, Loomis Judyta, Vyas Pranav, Shet Narendra, Fricke Stanley, Cielma Tara, Bush Ebony, Grecco Krystal

Diuresis Renograms in Hydronephrosis/Ureteropelvic Junction Obstruction of the Lower Moiety of Duplex Collecting Systems: An Institutional Experience

Kim Jane, Shalaby-rana Eglal, Krill Aaron, Pohl Hans, Majd Massoud

You have to be authorized to contact abstract author. Please, Login or Signup.

Please note that this is a separate login, not connected with your credentials used for the SPR main website.

Not Available