{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:26:42Z","timestamp":1754144802428,"version":"3.41.2"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"vor","delay-in-days":174,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Mesenteric shear, injury due to sudden stretch of the mesentery, is a rare condition that remains poorly studied, especially in the pediatric population. Often resulting from trauma, its presentation can vary from nonspecific and vague abdominal symptoms to an acute abdomen and peritonitis requiring urgent surgical intervention. Unified management strategies are not yet in place. We describe the case of a 10-year-old boy who presented to the emergency department with diffuse abdominal pain of 1 day duration, 2 days after he sustained blunt abdominal trauma with an elbow during a soccer match. He was hemodynamically and clinically stable. Computed tomography scan revealed soft tissue thickening in the left upper quadrant at the root of the mesentery with mild surrounding inflammatory mesenteric fat stranding, suggesting mesenteric shearing. With stable vitals, a soft abdomen on physical exam, and no drop in hemoglobin, the decision was made to treat the patient conservatively. The patient was admitted for observation, and after frequent abdominal exams, stable laboratory results, and abdominal imaging, he was discharged home without any surgical intervention. Conservative management can be successful in the case of a stable patient without alarming physical, laboratory, or imaging findings. Observation and close monitoring remain essential to detect complicated cases that require surgical intervention.<\/jats:p>","DOI":"10.1055\/a-2642-0650","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T19:16:11Z","timestamp":1750792571000},"page":"e19-e22","source":"Crossref","is-referenced-by-count":0,"title":["Mesenteric Shearing in a Pediatric Patient, Successfully Managed Conservatively: A Case Report"],"prefix":"10.1055","volume":"13","author":[{"given":"Karim","family":"Sabeh-Ayoun","sequence":"additional","affiliation":[{"name":"Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nour","family":"Bakhos","sequence":"additional","affiliation":[{"name":"Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Natout","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Beirut Governorate, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Zaghal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.4103\/jiaps.jiaps_40_21","article-title":"Mesenteric injury in blunt abdominal trauma in children","volume":"27","author":"A K Singh","year":"2022","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1016\/j.jpedsurg.2009.02.045","article-title":"Clinical significance of isolated intraperitoneal fluid on computed tomography in pediatric blunt abdominal trauma","volume":"44","author":"J G Christiano","year":"2009","journal-title":"J Pediatr Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.jamcollsurg.2016.12.041","article-title":"Identifying children at very low risk for blunt intra-abdominal injury in whom CT of the abdomen can be avoided safely","volume":"224","author":"C J Streck","year":"2017","journal-title":"J Am Coll Surg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.suc.2017.06.004","article-title":"Surgical management of abdominal trauma: hollow viscus injury","volume":"97","author":"J J Coleman","year":"2017","journal-title":"Surg Clin North Am"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s00268-012-1798-3","article-title":"Predicting hollow viscus injury in blunt abdominal trauma with computed tomography","volume":"37","author":"S Bhagvan","year":"2013","journal-title":"World J Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.jpedsurg.2009.10.027","article-title":"Delay in diagnosis and treatment of blunt intestinal injury does not adversely affect prognosis in the pediatric trauma patient","volume":"45","author":"R W Letton","year":"2010","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"183","DOI":"10.5505\/tjtes.2013.80269","article-title":"Intestinal stenosis from mesenteric injury after blunt abdominal trauma in children: case reports","volume":"19","author":"M Imamo\u011flu","year":"2013","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"issue":"09","key":"ref8","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.3390\/jcm10091853","article-title":"The efficacy and safety of laparoscopy for blunt abdominal trauma: a systematic review and meta-analysis","volume":"10","author":"Y J Ki","year":"2021","journal-title":"J Clin Med"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1016\/j.jpedsurg.2019.07.001","article-title":"Therapeutic laparoscopy for pediatric abdominal trauma","volume":"55","author":"P T Evans","year":"2020","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"e73","DOI":"10.1097\/TA.0000000000003319","article-title":"Organ injury scaling 2020 update: bowel and mesentery","volume":"91","author":"G T Tominaga","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"bcr2012006624","DOI":"10.1136\/bcr-2012-006624","article-title":"Spontaneous mesenteric haematoma; 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