Authors
N Hormaza Aguirre, R Oca Pernas, M Berástegui Imaz, A Gozalo García, M S Carreras Aja
Published in
Radiologia. Volume 68. Issue 5. Pages 501704. Epub Jul 29, 2026.
Abstract
Thoracoabdominal trauma is one of the leading causes of morbidity and mortality in paediatrics and requires a diagnostic and therapeutic approach distinct from that of adults. Children's greater radiosensitivity necessitates careful justification for each diagnostic test involving radiation and demands optimisation of imaging protocols with appropriately adapted parameters. Strategies such as dual-bolus computed tomography (CT), limiting the scan area, and using non-radiating imaging modalities help minimise exposure. In addition, it is essential to apply clinical prediction rules and paediatric-specific protocols, as well as to promote multidisciplinary consensus to enable an individualised approach. Treatment depends primarily on haemodynamic stability rather than imaging findings. It is crucial to recognise scenarios such as non-accidental injury and the hypoperfusion complex to avoid diagnostic errors. This article aims to serve as a guide to support the diagnostic process of blunt thoracoabdominal trauma in paediatrics, highlighting the key differences between paediatric and adult patients. It also reviews the indications for each imaging modality and emphasises the importance of optimising CT protocols.
PMID:
42711011
Bibliographic data and abstract were imported from PubMed on 09 Sep 2026.
Read full publication at:
Please sign in
to see all details.
Advertisement
Stats
- Recommendations n/a n/a positive of 0 vote(s)
- Views 2
- Comments 0