A systematic review of abusive visceral injuries in childhood—Their range and recognition

Maguire, Sabine; Upadhyaya, Manasvi; Evans, Alison; Mann, Mala; Haroon, Munib; Tempest, Vanessa; Lumb, Rebecca Caroline; Kemp, Alison

doi:10.1016/j.chiabu.2012.10.009

Cited by 80 publications

(27 citation statements)

References 121 publications

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“…123 Compared with children who sustain accidental abdominal trauma, victims of abuse tend to be younger, are more likely to have an injury to the hollow viscera, are more likely to have delayed presentations to medical care, and have a higher mortality rate. 124,125 Solid organ injuries, most often involving the liver, are more common overall in both accidental and abusive abdominal injury, but abused children are more likely to have accompanying hollow viscus injury. 124 Abdominal bruising often is not seen, even in children with severe or fatal abdominal injury.…”

Section: Thoracoabdominal Injuriesmentioning

confidence: 99%

The Evaluation of Suspected Child Physical Abuse

Christian¹

2015

Pediatrics

463

301

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Child physical abuse is an important cause of pediatric morbidity and mortality and is associated with major physical and mental health problems that can extend into adulthood. Pediatricians are in a unique position to identify and prevent child abuse, and this clinical report provides guidance to the practitioner regarding indicators and evaluation of suspected physical abuse of children. The role of the physician may include identifying abused children with suspicious injuries who present for care, reporting suspected abuse to the child protection agency for investigation, supporting families who are affected by child abuse, coordinating with other professionals and community agencies to provide immediate and long-term treatment to victimized children, providing court testimony when necessary, providing preventive care and anticipatory guidance in the office, and advocating for policies and programs that support families and protect vulnerable children.

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Section: Thoracoabdominal Injuriesmentioning

confidence: 99%

The Evaluation of Suspected Child Physical Abuse

Christian¹

2015

Pediatrics

463

301

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“…Compared to other studies, the results here are consistent with the findings that abusive head trauma is the most common cause of morbidity in physically abused infants. [ 26 27 ] Rare presentations in literature, such as duodenal perforation, [ 28 29 ] burn, [30] or scrotal trauma [31] in child abuse are also observed in this cohort. Understanding the diverse presentations of abuse-related trauma can alert physicians when they encounter unexplained unusual symptoms or signs in the first setting.…”

Section: Discussionmentioning

confidence: 75%

Abuse-related trauma forward medical care in a randomly sampled nationwide population

Lee²,

Wang

et al. 2016

Medicine

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“…Significant visceral injury may present with little or no specific signs, where as few as 12% may have abdominal bruising, emphasizing the need for early consideration as some children may present with nonspecific symptoms, for example, vomiting and irritability [12, 13]. Child abuse should be considered in all cases of nonfatal abdominal injuries presenting to the emergency department.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis

Hong

Porter

Esernio-Jenssen

et al. 2017

Case Reports in Pediatrics

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Pediatric pancreatic injuries are rare. We present an atypical case that occurred in a 4-year-old male. The child presented with a twenty-four-hour history of vomiting that had progressed to right lower quadrant abdominal pain on examination in the emergency department. The initial differential was gastroenteritis versus appendicitis. An abnormality on the ultrasonography and an elevated lipase level eventually led to an MRI showing a complete transection through the posterior margin of the pancreas. The patient was admitted to pediatric surgery and underwent a successful distal pancreatectomy with preservation of the spleen. On further inquiry specific to trauma, the child disclosed that his older brother had punched him in his abdomen the night before. The child's parents were separated due to intimate partner violence, and this older sibling recently had been very stressed. The sibling was referred for mental health evaluation and counseling, and the case reported to the county children and youth investigative services system. A low threshold for considering trauma and child abuse in the pediatric population is recommended when significant intra-abdominal injury is diagnosed.

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A systematic review of abusive visceral injuries in childhood—Their range and recognition

Cited by 80 publications

References 121 publications

The Evaluation of Suspected Child Physical Abuse

The Evaluation of Suspected Child Physical Abuse

Abuse-related trauma forward medical care in a randomly sampled nationwide population

Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis

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