TY  - JOUR
PY  - 2019//
TI  - Cardiac ventricular laceration due to child abuse: abusive ventricular laceration
JO  - Journal of forensic sciences
A1  - Yarid, Nicole
A1  - Brown, Emily C.
A1  - Boos, Markus
A1  - Otjen, Jeffrey
A1  - Metz, James
A1  - Jenny, Carole
A1  - Feldman, Kenneth W.
SP  - 284
EP  - 288
VL  - 64
IS  - 1
N2  - Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left ventricular rupture due to child abuse has been reported. We report a child who sustained a fatal left ventricular apical rupture. It appeared to have resulted from hydrostatic forces resulting from abusive blunt thoracic injury. That he was being abused was previously missed when he was presented to the emergency department with facial pyoderma. It was not noted that he also had lip and oral mucosal injury, sites not affected by staph toxins. As a result, his underlying, abusive and secondarily infected, facial flow type scald burn was not appreciated. Within a week thereafter his fatal injury occurred, accompanied by extensive and obvious associated abusive injuries. Postmortem high-detail whole body computed tomography scanning aided the autopsy. Although rare, ventricular rupture from abusive blunt thoracic injury can occur.<br><br>© 2018 American Academy of Forensic Sciences.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-1198
UR  - http://dx.doi.org/10.1111/1556-4029.13857
ID  - ref1
ER  -