Traumatic gastrointestinal and mesenteric injuries are rare in children, occurring in approximately 5% of paediatric blunt abdominal traumas (2%–15%) (Ruess et al. 1997; Cooper 1994; Taylor 1994; Strouse et al. 1999). However, a good understanding of their clinical and radiological findings is necessary because of their diagnostic difficulty and potential severity (peritonitis associated with perforation, mesenteric ischaemia). This becomes particularly important, as paediatric blunt abdominal traumas are generally treated conservatively; whereas, gastrointestinal injuries may require surgical treatment.