Zakrytaya travma organov bryushnoy polosti sostavlyaet 3% vsekh povrezhdeniy u detey, voznykayet pri sil'nom udare po zhivotu ili spine, avtomobil'noy travme, padenii s bol'shoy vysoty, sdavlenii i t.d. Lyubaya travma vnutrennikh organov tat v sebe opasnost' tyazholoy katastrofy, pochti vo vsekh sluchayakh ugrozhayushchey zhizni rebyonka, trebuyushchey neotlozhnogo vmeshatel'stva, v svyazi s chem deti s zakrytoy travmoy zhivota nuzhdayutsya v tshchatel'nom postoyannom nablyudenii i lechenii v usloviyakh khirurgicheskogo statsionara. Povrezhdeniye parenkhimaticheskikh organov (pecheni, selezyonki) soprovodyayetsya vnutri-bryushnym krovotecheniyem s narastayushchey anemiyey i gemodinamicheskimi narusheniyami, povrezhdeniye pologo organa privodit k peritonitu - vsyo eto ukazyvayet na chrezvychaynuyu vazhnost' sovremennogo diagnostirovaniya i vybora ratsional'nogo lecheniya. Sredi faktorov, vliyayushchikh na stepen' i tyazhest' povrezhdeniya vnutrennikh organov bryushnoy polosti, bol'shoe znacheniye imeyet ikh sostoyaniye v moment travmy. Aktivnoye napryazheniye myshts bryushnoy stenki predokhranyayet vnutrennie organy ot povrezhdeniya. Napolneniye pologo organa privodit k ego razryvu s istecheniyem soderzhimogo v svobodnuyu bryushnuyu polost'. Patologicheskoye izmeneniye organa predraspolagaet k ego travme, dazhe pri neznachitel'nom fizicheskom vozdeystvii.