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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 1/2018

01-02-2018 | Original Article

The prevalence of incidental findings on computed tomography of the abdomen/pelvis in pediatric trauma patients

Authors: C. Onwubiko, D. P. Mooney

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2018

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Abstract

Purpose

Computed tomography scans of the abdomen/pelvis (CTAP) in the adult population may reveal findings unrelated to the injury, such as a mass; the occurrence of incidental findings in pediatric patients remains unknown. This study aims to determine the percentage of pediatric trauma patients with incidental findings.

Methods

Data regarding consecutive 250 patients who underwent CTAP during their evaluation were retrieved from our level 1 pediatric trauma center trauma registry. Interpretations were reviewed for mention of incidental findings. Records for patients with incidental findings were examined to determine what further evaluation occurred.

Results

Nine patients were excluded due to incomplete records. Of the remaining 241 patients, 114 incidental findings were identified among 86 (35.7%) patients. There were 47 clinically significant incidental findings, occurring in 41 (17%) patients. Seven patients (8.1%) had further workup of their findings; Three (3.5%) went on to have an operation (two patients with ureteropelvic junction obstruction and one with high-riding testicle). No potential tumors were found in this population. Incidental findings were mentioned in 25.5% of discharge summaries.

Conclusions

Pediatric trauma CTAP reveals incidental findings at a lower rate than in their adult counterparts. Documentation of findings should be improved for optimal care of the injured child.
Literature
1.
Barrett TW, Schierling M, Zhou C, Colfax JD, Russ S, Conatser P, et al. Prevalence of incidental findings in trauma patients detected by computed tomography imaging. Am J Emerg Med. 2009;27(4):428–35.CrossRefPubMed
2.
Devine AS, Jackson CS, Lyons L, Mason JD. Frequency of incidental findings on computed tomography of trauma patients. West J Emerg Med. 2010;11(1):24–7.PubMedPubMedCentral
3.
Munk MD, Peitzman AB, Hostler DP, Wolfson AB. Frequency and follow-up of incidental findings on trauma computed tomography scans: experience at a level one trauma center. J Emerg Med. 2010;38(3):346–50.CrossRefPubMed
4.
Paluska TR, Sise MJ, Sack DI, Sise CB, Egan MC, Biondi M. Incidental CT findings in trauma patients: incidence and implications for care of the injured. J Trauma. 2007;62(1):157–61.CrossRefPubMed
5.
Sierink JC, Saltzherr TP, Russchen MJ, de Castro SM, Beenen LF, Schep NW, et al. Incidental findings on total-body CT scans in trauma patients. Injury. 2014;45(5):840–4.CrossRefPubMed
6.
Ekeh AP, Walusimbi M, Brigham E, Woods RJ, McCarthy MC. The prevalence of incidental findings on abdominal computed tomography scans of trauma patients. J Emerg Med. 2010;38(4):484–9.CrossRefPubMed
7.
Ruesseler M, Schill A, Lehnert T, Wyen H, Wutzler S, Marzi I, et al. Incidental findings in patients with multiple injuries: how to proceed? J Trauma Acute Care Surg. 2013;75(5):848–53.CrossRefPubMed
8.
Ortega HW, Vander Velden H, Reid S. Incidental findings on computed tomography scans in children with mild head trauma. Clin Pediatr. 2012;51(9):872–6.CrossRef
9.
Rogers AJ, Maher CO, Schunk JE, Quayle K, Jacobs E, Lichenstein R, et al. Incidental findings in children with blunt head trauma evaluated with cranial CT scans. Pediatrics. 2013;132(2):e356–63.CrossRefPubMed
10.
Marietti S, Woldrich J, Durbin J, Sparks S, Kaplan G, Chiang G. Urologic findings on computed tomography of the abdomen and pelvis in a pediatric population. J Pediatr Urol. 2013;9(5):609–12.CrossRefPubMed
11.
Metadata
Title
The prevalence of incidental findings on computed tomography of the abdomen/pelvis in pediatric trauma patients
Authors
C. Onwubiko
D. P. Mooney
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2018
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-017-0798-2

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