Sixteen children with suspected abdominal injury were reviewed. All un
derwent plain abdominal radiography and computed tomography (CT). Fift
een CT scans showed an abnormality, and the abdominal radiograph was a
bnormal in seven cases. Eight patients also underwent abdominal ultras
onography, and six scans failed to demonstrate an abnormality. Only tw
o patients required laparotomy, one for a ruptured left diaphragm and
one for a major renal injury. These results support the use of CT as t
he optimal method for assessing the stable child following blunt abdom
inal trauma.