The importance of laboratory re-evaluation in cases of suspected child abuse – A case report

Woydt, Lina; König, Christian; Bernhard, Matthias K.; Nickel, Petra; Dreßler, Jan; Ondruschka, Benjamin

doi:10.1016/j.legalmed.2017.07.007

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…To be sure of correctly and accurately diagnosing incidences of child abuse or neglect, presiding physicians are required to be cognizant with disorders and medical conditions that may simulate maltreatment. In this context, the case of a two-year-old boy, hospitalized on two occasions due to suspicious injuries and wounds combined with psychosocial perspicuous indications, from a family situation recognised for its repeated proclivities for endangering of the child's well-being has been described [10]. Following the child's first hospitalization with wounds indicative of child abuse predilections, but lacking paraclinical abnormalities, medical inspections were arranged periodically such the child was hospitalized when signs of repeated child abuse were observed again five months later.…”

Section: Check For Updatesmentioning

confidence: 99%

Traumatization and Trauma Cases: Childhood Adversity and Deafness

Trevor¹,

Et²

2018

Trauma Cases Rev

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Section: Check For Updatesmentioning

confidence: 99%

Traumatization and Trauma Cases: Childhood Adversity and Deafness

Trevor¹,

Et²

2018

Trauma Cases Rev

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“…Generally, the existence of ecchymoses located on the ears, neck, face, head or on the parts of the body where there are no prominent bones advocates for physical aggression (physical abuse) [7,8]. Extremely rarely, in the event of death, traumatic marks can mimic abuse, the cause of death being pathological or intoxication with various toxic substances [9][10][11][12].…”

Section:  Introductionmentioning

confidence: 99%

The morphological characteristics of the physically abused child. Report of a case and literature review

Motorca

Buhaş

Bungău³

et al. 2020

Rom J Morphol Embryol

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Child abuse remains a current problem, despite progress in the field of prevention and social assistance. The injuries produced by physical abuse have to be evaluated using scientific methods, in order to be considered as evidences later in Court, but also to ensure the physical and social security of the child. Among the morphological characteristics of the child (on which depends how the lesions are formed, differently in children from adults), there is the strong adherence of the dura mater to the skull bones, this fact preventing the formation of extradural hematomas. Another special aspect is the poor development of skeletal muscle before puberty, which confers poor protection of the internal organs against the traumatic physical agents. This paper presents the particular morphological and histological aspects that can be evidenced by forensic autopsy in children. The study was conducted on a female child, physically assaulted, arrived in the emergency department of the hospital. The death occurred shortly after hospitalization. The investigations revealed multiple external (on the whole body) and internal injuries. According to the statements of those who called the ambulance, the injuries occurred because of falling on the stairs and were considered by the family as being superficial, without requiring medical care. The forensic autopsy, through the external, internal and histopathological examination, highlighted the specific injuries that led to the death, thereby contributing to the elucidation of the tanatogenerative mechanism, of the way the lesions were produced and to the applying the law.

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The importance of laboratory re-evaluation in cases of suspected child abuse – A case report

Cited by 2 publications

References 16 publications

Traumatization and Trauma Cases: Childhood Adversity and Deafness

Traumatization and Trauma Cases: Childhood Adversity and Deafness

The morphological characteristics of the physically abused child. Report of a case and literature review

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