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AAP Grand Rounds 19:9 (2008)
© 2008 American Academy of Pediatrics

Posttraumatic Small Bowel Obstruction in Children

The first 20% of the full text of this article appears below.

Blunt abdominal trauma in children is usually managed nonoperatively and is rarely complicated by intestinal injury (5% incidence). Conservative management may mean that some patients with intestinal injuries are initially missed.^1,2

This study is a review of five children with posttraumatic small bowel obstruction (SBO) who were treated at The Children’s Hospital at Westmead, Sydney, Australia, from 1995–2006. A medical record review was conducted to identify children who underwent surgery for SBO who had been previously treated for blunt abdominal trauma. Six patients were initially identified; however, one patient who had a laparotomy and jejunal resection during the initial hospitalization was excluded.

Among the five patients with delayed SBO following blunt abdominal trauma, three were in . . . [Full Text of this Article]

Clinton M. Cavett, MD, FAAP

Carilion Clinic Children’s Hospital, Roanoke, VA