Soft tissue injuries in the abdominal area of a child
Children are active, and during fast-paced games or sports, they can get hit in the stomach area.
Internal organ injuries usually heal without surgery
Unlike adults, soft tissue injuries in children – such as liver, spleen, or kidneys bumps and lacerations – are almost always treated without surgery.
Treatment usually involves hospital observation, rest, and pain management. Surgical treatment is only very rarely needed.
When are investigations necessary?
If a child receives a blow to the abdomen (e.g. falling over a bicycle handlebar, falling, or being hit hard during a ball game), the situation can lead to internal organ damage.
See a doctor if:
The child complains of stomach pain after the procedure or the stomach is tender to the touch.
There is visible bruising or swelling in the abdominal area.
The child is unusually tired, pale, or unwell.
Blood appears in the urine (often indicating a kidney injury).
How is the injury investigated?
A sore stomach after an injury is always a reason for a careful examination. In addition to a clinical examination by a doctor, the most important aid is:
Ultrasound examination (US): This is a painless and safe way for the child to check the condition of the internal organs and rule out any possible internal bleeding.
Sometimes blood tests and a urine sample are also considered.