If the CT scan shows less severe bleeding especially into the spleen and liver, your child will be monitored very closely and the caregivers will attempt to spare your child from surgery. If any of the CT scans show significant internal bleeding, surgery will likely be done as soon as possible. If there is any blood in the urine, a special type of CT scan that includes putting contrast dye into the bladder and kidneys may be done.īlood tests that look for abnormal liver enzymes in the blood may be done if liver injury is suspected. Contrast is a special type of dye that is injected into the bloodstream to make the X-ray images easier to read. If blood pressure is stabilized, a CT scan with contrast may be done to search for or pinpoint any internal damage. If blood pressure can't be stabilized, your child will be taken to the operating room for repair of any internal bleeding. If there are signs of internal bleeding, an IV (intravenous) line is inserted and fluids are given to stabilize the blood pressure.īlood tests may be done to measure blood volume and to prepare for possible blood transfusions. A rapid pulse and falling blood pressure indicate internal bleeding. When your child has symptoms of abdominal trauma and is being evaluated by emergency caregivers, the most important part of the diagnosis is the pulse and blood pressure. Right-sided abdominal pain and right shoulder pain (liver)īluish discoloration of the belly or bruising particularly around the belly button and flanksĭiagnosis and treatment of abdominal injuries These are signs and symptoms to look for: If you or the team coach, doctor, or trainer suspects this type of injury, your child should be transported to an emergency care facility for evaluation. A single organ or multiple organs can be injured.īecause these injuries can result in rapid blood loss, it's important to recognize them as soon as possible. This can result in injury to the pancreas, diaphragm, stomach, gallbladder, bladder, or intestines. A torn liver can cause severe bleeding, but it doesn't bleed as frequently as a torn spleen.Ībdominal injury. The lobe most often injured is the right lobe because it is bigger and presses against the ribcage. This causes pain in upper right side of the abdomen. Tearing of the spleen can cause rapid and life-threatening internal bleeding. The spleen filters almost 10% of the body's blood supply every minute. This causes pain in the upper left side of the abdomen. This may cause flank pain and blood to appear in the urine. Sports-related abdominal injuries are rare, but some studies suggest they are increasing. These types of injuries are most common in contact sports like football, ice hockey, soccer, and lacrosse. Less common but potentially much more dangerous are internal abdominal injuries from blunt trauma, serious injuries that occur when the body hits or collides with a large object. If you are the parent of a young athlete, you are probably used to dealing with scrapes, bumps, sprains, and strains. According to the CDC, nearly 2.7 million young people are treated in the emergency room every year for sports-related injuries. These activities have important physical and social benefits, but they are not without risk. participate in organized and recreational sports. Millions of children and teens in the U.S. Recognizing Internal Injuries in Young Athletes
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