The importance of a multidisciplinary approach in a child with major abdominal penetrating trauma.
We present a case of a 2-year-old girl who had a lawn mower accident with subtotal gut evisceration, multiple ischemic intestinal lesions, hepatic and gastric wounds, amputation of the left forearm, and hypovolemic shock. Prompt and adequate management was carried out in tertiary level institution, based upon quick evaluation of the lesions, fluid resuscitation, surgical repair, and postoperative admission to the pediatric intensive care unit.
Adorisio
Ottavio
O
Department of Pediatric Surgery, Pediatric Urology Unit, Anna Meyer Children's Hospital, Florence, Italy. o.adorisio@meyer.it
Elia
Antonio
A
Pinzauti
Enrico
E
Pancani
Simone
S
Mirabile
Lorenzo
L
Lenares
Elena
E
Danti
Dante Alfredo
DA
D000007:Abdominal Injuries / Q000175:diagnosis / Q000628:therapy*; D000061:Accidents, Home; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004636:Emergency Service, Hospital; D004638:Emergency Treatment; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007442:Intubation, Intratracheal; D007813:Laparotomy / Q000379:methods; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration*; D012121:Respiration, Artificial; D018570:Risk Assessment; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000628:therapy*