{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:01:46Z","timestamp":1777906906111,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2003,7,1]],"date-time":"2003-07-01T00:00:00Z","timestamp":1057017600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2003,7]]},"abstract":"<jats:p>A retrospective study of 25 children with gastrointestinal perforation due to blunt abdominal trauma in a single region of Pakistan is presented. The age, sex, aetiology, site of perforation, abdominal and X-ray findings, associated injuries, surgical procedures and outcome were analysed. There were 20 boys and 5 girls: mean age was 10 years. The injuries were the result of road traffic accidents 12 (48%), falls 11 (44%) and \u2018struck by animals\u2019 two (8%). Associated injuries occurred in 19 (76%). On admission 20 (80%) patients had peritonitis while 18 (72%) had pneumoperitoneum. Mean time from trauma to admission was 10 hours and admission to operation was 5 hours. Ileum was the most common site of perforation. Simple closure was the most common surgical procedure. Complications occurred in nine (36%) patients \u2014 six (24%) died. Delay in presentation and operation was associated with increased morbidity and mortality. Frequent evaluation of the child and abdominal X-rays are still the important tools for early diagnosis of gastrointestinal perforation following blunt abdominal trauma.<\/jats:p>","DOI":"10.1177\/004947550303300318","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T08:46:30Z","timestamp":1484297190000},"page":"168-170","source":"Crossref","is-referenced-by-count":4,"title":["Gastrointestinal Perforation in Children Due to Blunt Abdominal Trauma in Hazara, Northern Pakistan"],"prefix":"10.1177","volume":"33","author":[{"given":"Arshad","family":"Zafar","sequence":"first","affiliation":[{"name":"Ayub Medical College, Abbottabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasir","family":"Orakzai","sequence":"additional","affiliation":[{"name":"Ayub Medical College, Abbottabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aamir","family":"Ghafoor","sequence":"additional","affiliation":[{"name":"Ayub Medical College, Abbottabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajjad","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Ayub Medical College, Abbottabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,7,1]]},"reference":[{"key":"bibr1-004947550303300318","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006565-198703000-00001","volume":"3","author":"Schwaitzberg SD","year":"1987","journal-title":"Emerg Care Q"},{"key":"bibr2-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199607000-00017"},{"key":"bibr3-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198810000-00006"},{"key":"bibr4-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800790615"},{"key":"bibr5-004947550303300318","first-page":"552","volume":"163","author":"Kovacs GZ","year":"1986","journal-title":"Surg Gynaecol Obstet"},{"key":"bibr6-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90353-7"},{"key":"bibr7-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050311"},{"key":"bibr8-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199603000-00016"},{"key":"bibr9-004947550303300318","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1994.01420310075013"},{"key":"bibr10-004947550303300318","first-page":"1053","volume-title":"Bailey and Love's Short Practice of Surgery","author":"Neil J","year":"2000","edition":"23"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550303300318","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550303300318","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:27:04Z","timestamp":1777642024000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947550303300318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2003,7]]}},"alternative-id":["10.1177\/004947550303300318"],"URL":"https:\/\/doi.org\/10.1177\/004947550303300318","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,7]]}}}