Abdominal injuries are a commun cause of consultation in pediatric surgery. They often require non operative treatment when hemodynamics is stable. However, a normal physical examination is not reassuring, and imaging can not be conclusive. Materials and Methods: through a serie of 11 cases, collected in Pediatric Surgical Emergencies Department of the Children's Hospital of Rabat, over a period of 7 years, we analiszed epidemiological, clinical, therapeutic sides and outcomes. Results: The mean age of patients was 10.5 years (6-15 years) with a male predominance (82%). Abdominal contusion are represented in 9 cases versus 2 cases of abdominal wounds. The ragiologic examinations (ultrasound scans and CT) were non conclusive and all patients underwent a laparoscopy for suspected lesions of hollow organ. In 4 cases, there was intestinal perforation. Other causes are found: a splenic contusion, (one case) liver contusion (one case) and one duodenal hematoma. In 4 patients, laparoscopy was negative. Conclusion: laparoscopy both diagnostic and therapeutic avoids unnecessary laparotomy.
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