Blunt abdominal trauma in children

Blunt abdominal trauma is the commonest cause of intra-abdominal injuries i n children. The use of computerized axial tomography and non-operative mana gement of haemoperitoneum are two significant developments in the last two decades in the management of blunt abdominal trauma in children. The concep t of non-operative management was introduced in late 1979 and wherever poss ible remains the optimum treatment. Computerized tomography scan for paedia tric abdominal trauma was first described in 1980 and remains the investiga tion of choice. There is no substitute, however. for a good history, astute physical examination, and strict adherence to the principles of primary an d secondary survey, prompt resuscitation, vigilant monitoring and repeated evaluation.