title: The importance of a multidisciplinary approach in a child with major abdominal penetrating trauma.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, Pediatric Urology Unit, Anna Meyer Children's Hospital, Florence, Italy. o.adorisio@meyer.it
authors.forename: Ottavio
authors.initials: O
authors.lastname: Adorisio
authors.forename: Antonio
authors.initials: A
authors.lastname: Elia
authors.forename: Enrico
authors.initials: E
authors.lastname: Pinzauti
authors.forename: Simone
authors.initials: S
authors.lastname: Pancani
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Mirabile
authors.forename: Elena
authors.initials: E
authors.lastname: Lenares
authors.forename: Dante Alfredo
authors.initials: DA
authors.lastname: Danti
mesh_terms: 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*