Major Blunt Abdominal Trauma due to Child Abuse

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.

show abstract

“…124 Abdominal bruising often is not seen, even in children with severe or fatal abdominal injury. 126 Symptomatic …”

Section: Thoracoabdominal Injuriesmentioning

confidence: 99%

The Evaluation of Suspected Child Physical Abuse

Christian¹

2015

Pediatrics

461

301

View full text Add to dashboard Cite

show abstract

“…Hypointense Hypointense a This initially has a dark centre with a bright rim but becomes hyperintense Table 5 based on information obtained from [55,56] Abdomen Both hollow and solid abdominal organs are injured in abuse, but there are sites of predilection with a pattern of injury that is different from accidental injury. The spleen and kidneys are rarely injured in abuse ± though commonly injured in accidental trauma [65]. Bowel and pancreatic injury are more frequent in abuse than in accidental trauma.…”

Section: Visceral Injuriesmentioning

confidence: 99%

“…In the child with an acute presentation, there is frequently other evidence of abuse [65] manifesting mainly as bruising, but in the child with delayed presentation this may have disappeared. In one series [65], 27 % of the children had associated bony injury. In children who have visceral trauma, the finding of rib fractures in the lower rib cage is not uncommon.…”

Section: Visceral Injuriesmentioning

confidence: 99%

Non-accidental injury: a review of the radiology

Carty

1997

Eur Radiol

View full text Add to dashboard Cite

show abstract

“…Çocuk istismarında iç organ yaralanmaları daha çok 2 yaş üzerindeki çocuklarda, karın ve göğüs travması olarak karşımıza çıkar (28). Göğüs travması sonucunda pnömotoraks, hemotoraks oluşabilir.…”

Section: İç Organ Yaralanmalarıunclassified