**5. Conclusion**

Pediatric patients present a unique set of challenges for the emergency physician, pediatrician, surgeon, or pediatric anesthesiologist after abdominal trauma. One of

the most common problems encountered in pediatric patients after abdominal trauma is that it is detected late and leads to poor outcomes due to improper management.

Since abdominal trauma is still the most important cause of mortality in pediatrics, the primary rule to reduce mortality in these patients is to diagnose and start treatment in the first hours immediately. Observation and re-evaluation should be our main goals in the management of abdominal trauma cases.

Initial FAST and then CT is important in the evaluation of these patients. However, in the detection of asymptomatic cases, CT together with FAST may give more accurate and reliable results in selected cases with a high index of suspicion.

Laparoscopy is a safe method in both the evaluation and treatment of selective blunt and penetrating abdominal injuries in hemodynamically stable patients. However, it may not be beneficial in patients with delayed findings.
