Citation

Kondolot M, Yagmur F, Yklmaz A, Turan C, Oztop DB, Oral R. Pediatr. Emerg. Care 2011; 27(11): 1075-1077.

Affiliation

From the *Unit of Social Pediatrics, Departments of Pediatrics, †Forensic Medicine, ‡Pediatric Radiology, §Pediatric Surgery, and ∥Child Psychiatry, Faculty of Medicine, Erciyes University, Kayseri, Turkey; and ¶Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA.

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/PEC.0b013e3182360653

PMID

22068073

Abstract

Intra-abdominal injuries from impacts are the second most common cause of death in battered children. However, it may be difficult to distinguish between accidental abdominal injury and abuse, especially in the absence of other clinical findings. Published reports are also limited about the diagnosis of abuse in children with intra-abdominal injury. We report a case with jejunal perforation, multiple soft tissue injuries, and occipital fracture secondary to child abuse who was initially admitted to our hospital with complaint of fever, cough, and vomiting. An exploratory laparotomy revealed perforation of the jejunum, and an end-to-end anastomosis was performed. The patient was evaluated by the hospital's child protective team to implement appropriate diagnostic and child-protective interventions, and the child was discharged home in 10 days.

Language: en