Travma pediyatrik yaş grubunda en sık mortalite ve morbidite nedenidir. Baş ve ekstremitelerden sonra karın en sık yaralanan üçüncü bölgedir. Abdomianl travmalar %8.5 gibi yüksek bir mortalite oranına sahiptir. Çocuklar anotomik, fizyolojik ve psikolojik yönlerden erişkinlerden farklılıklar gösterirler. Bu nedenle çocuklarda travmaya yaklaşım bazı farklılıklar göstermektedir. Bu yazıda, çocuklarda travma sonrası oluşan abdomen yaralanmalarının tipik klinik bulguları, değerlendirilmesi ve tedavisi anlatılacaktır.

Trauma is the most common cause of mortality and morbidity in pediatric population. Following the head and extremities, abdomen is the third most commonly injured region in children. Abdominal traumas have a mortality rate as high as 8.5%. Children hav1. Cantor RM, Leaming JM. Evaluation and management of pediatric major trauma. Emerg Med Clin North Am 1998; 16:229- 56. 2. Keller MS. Blunt injury to solid abdominal organs. Semin Pediatr Surg 2004; 13:106- 11. 3. Stafford PW, Nance ML. Managing pediatric solid organ injury. J Am Coll Surg 2002; 194:394-5. 4. DeRoss AL, Vane DW. Early evaluation and resuscitation of the pediatric trauma patient. Semin Pediatr Surg. 2004; 13:74-79. 5. Stafford PW, Blinman TA, Nance ML. Practical points in evaluation and resuscitaiton of injured child. Surg Clin North Am 2002; 82:273-301. 6. Meyer PG. Paediatric trauma and resuscitation. Curr Opin Anaesthesiol 1998; 11:285-288. 7. Rothrock SG, Green SM, Morgan R. Abdominal trauma in infants and children: prompt identification and early management of serious and life-threatening injuries. Part I: injury patterns and initial assessment. Pediatr Emerg Care 2000; 16:106-115. 8. Eppich WJ, Zonfrillo MR. Emergency department evaluation and management of blunt abdominal trauma in children. Curr Opin Pediatr 2007; 19:265-269. 9. O’Neill JA. Advances in the management of pediatric trauma. Am J Surg 2000; 180: 365–369. 10. Knudson MM, Maull KI: Nonoperative management of solid organ injuries. Past, present, and future. Surg Clin North Am 1999; 79: 1357–1371. 11. Gandhi RR, Keller MS, Schwab CW ve ark. Pediatric splenic injury: Pathway to play? J Pediatr Surg 1999; 34: 55–58. 12. Mattix KD, Tataria M, Holmes J ve ark. Pediatric pancreatic trauma: predictors of nonoperative management failure and associated outcomes. J Pediatr Surg 2007; 42:340-344. 13. Ciftci AO, Karnak I, Senocak ME ve ark. Surgical injury of the biliary tract in children. Eur J Pediatr Surg 2000; 10:100-105. 14. Wegner S, Colletti JE, Van Wie D. Pediatric blunt abdominal trauma. Pediatr Clin North Am 2006; 53:243-256.e anatomical, physiological and psychological differences from adults. These differences make them more vulnerable to major injuries and require a different management. This article reviews typical clinical signs, evaluation, and treatment of children with suspected abdominal injuries following trauma.