A battered child case with duodenal perforation

Yavuz, Mehmet Sunay; Buyukyavuz, Ilker; Savaş, Çağrı; Özgüner, İsmet Faruk; Küpeli, Ahmet; Aşırdizer, Mahmut

doi:10.1016/j.jflm.2007.10.001

Cited by 11 publications

(9 citation statements)

References 22 publications

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“…Generally, there are contradictions between family members' statements and the anamnesis is not enough to explain the physical findings. The parents or caregivers usually accuse the siblings of the victims or the victims themselves [3,14]. In our case, the injuries on the face and extremities were alleged to be accidental as a result of hyperactivity, self mutilation of the victim and fighting with step siblings.…”

Section: Discussionmentioning

confidence: 82%

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Fatal child abuse-maltreatment syndrome; a case report

Akçan¹,

Arslan²,

Kaliszan³

et al. 2011

RJLM

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Child abuse-maltreatment syndrome can be described as child death due to repeated episodes of physical abuse and neglect. Here we present a case of child physical abuse and neglect causing death due to duodenal perforation. A five year old boy was reported to have stomachache occurring one day before death. He was admitted to a private health clinic where he was discharged after an analgesic injection. Because of increasing complaints he was applied to the same clinic, afterwards sent to an Emergency Department where he died during resuscitation. At autopsy, external examination revealed several traumatic injuries and two bite marks of different age, while internal examination revealed 500 ml of dirty yellowishgreenish free liquid in abdominal cavity and a perforation 0.5 cm in diameter of the duodenum wall. Insufficient parental supervision in spite of continuous traumas strongly indicates negligence or intentional abuse by parents. Additionally, insufficient medical follow up, besides; not disclosing the injuries on child's body adds medical malpractice aspect to this case.

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Section: Discussionmentioning

confidence: 82%

“…Inflicted traumatic brain injury is the leading cause of death due to child abuse, while blunt abdominal trauma takes place as the second commonest cause of death among abused children. Duodenal injuries secondary to blunt trauma are rare but generally life threatening [2][3][4][5].…”

mentioning

confidence: 99%

Fatal child abuse-maltreatment syndrome; a case report

Akçan¹,

Arslan²,

Kaliszan³

et al. 2011

RJLM

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“…Although children are often affected by accidental injuries, trauma inconsistent with the child's age are less likely to happen spontaneously, and irrational or conflicting explanations of the burn mechanism by the parents during the first admission to the emergency room should alert the medical staff. [ 23 24 ] Some patterns are pathognomonic for child abuse by burning, such as clearly demarcated, deep scald burns of the buttocks, perineum, and feet. Classical examples include deep second- or third-degree burns of the hands or feet in a glove- or stocking-like distribution.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting adherence to treatment and follow-up of burns in children: A single centre experience

Şener

Aydin

Ançi

et al. 2015

Int J Crit Illn Inj Sci

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Aim:Children are prone to burn injury. Burns can be seen as a part of child abuse. The aim of this study was to investigate the factors affecting adherence to the treatment of burn patients, and to emphasize the role of the physician in identifying children's non-accidental burn injuries.Materials and Methods:Children who were hospitalized in the burn unit were analyzed retrospectively. Results were assessed for significance using the Chi-square test.Results:A total of 189 patients were included. Some patients (n = 52; 27.5%) were discharged against medical advice (DAMA) before completion of treatment. Although we could not demonstrate a relationship between non-accidental etiology and DAMA group, it was significant that these patients did not contact the outpatient clinic after discharge. It was evident from records that two of these cases were abused. The reasoning of the parents in the DAMA group for the early discharge was siblings at home, financial and accommodation problems.Conclusion:Although burns in children commonly occur due to an accident, each burn case should be examined for a non-accidental etiology and findings suggesting abuse should be noted. Physicians should be alert for the detection of signs of burn related child abuse.

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“…It was defined that some skull fractures can not be diagnosed on conventional CT; they can be distinguished with the use of plain x-rays (Yavuz et al, 2001). Radiological examinations play significant role in differential diagnosis to non-accidental fractures from accidental fractures (Asirdizer & Zeyfeoglu, 2005); in determination of radiological evidence of physical child abuse (Asirdizer & Zeyfeoglu, 2005;Kahana & Hiss, 2005;Yavuz et al, 2008), torture (Vogel et al, 2007) and medical malpractice cases (Ulucay et al, 2010); localization and type of bullets remained within body (Brogdon, 1998). Also, radiological techniques have been used by aim of personalization and age determination of victims or defendants in criminal cases and persons in civil litigations (Brogdon, 1998;Kahana & Hiss, 1999;Kahana & Hiss, 2005).…”

Section: Usage Of Radiographic Techniques In Clinical Forensic Applicmentioning

confidence: 99%