Kondolot Meda, Yağmur Fatih, Yıkılmaz Ali, Turan Cüneyt, Öztop Didem B, Oral Resmiye
Unit of Social Pediatrics, Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Pediatr Emerg Care. 2011 Nov;27(11):1075-7. doi: 10.1097/PEC.0b013e3182360653.
Intra-abdominal injuries from impacts are the second most common cause of death in battered children. However, it may be difficult to distinguish between accidental abdominal injury and abuse, especially in the absence of other clinical findings. Published reports are also limited about the diagnosis of abuse in children with intra-abdominal injury. We report a case with jejunal perforation, multiple soft tissue injuries, and occipital fracture secondary to child abuse who was initially admitted to our hospital with complaint of fever, cough, and vomiting. An exploratory laparotomy revealed perforation of the jejunum, and an end-to-end anastomosis was performed. The patient was evaluated by the hospital's child protective team to implement appropriate diagnostic and child-protective interventions, and the child was discharged home in 10 days.
撞击导致的腹腔内损伤是受虐儿童第二常见的死亡原因。然而，区分意外腹部损伤和虐待可能很困难，尤其是在没有其他临床发现的情况下。关于腹腔内损伤儿童虐待诊断的已发表报告也很有限。我们报告一例因虐待儿童继发空肠穿孔、多处软组织损伤和枕骨骨折的病例，该患儿最初因发热、咳嗽和呕吐入院。剖腹探查发现空肠穿孔，并进行了端端吻合术。医院的儿童保护团队对该患者进行了评估，以实施适当的诊断和儿童保护干预措施，患儿在10天后出院回家。
