Pooniya Shashank, Behera C, Mridha Asit Ranjan, Swain Rajanikanta
All India Institute of Medical Sciences AIIMS, India.
All India Institute of Medical Sciences AIIMS, India
Med Sci Law. 2016 Jul;56(3):217-20. doi: 10.1177/0025802414562500. Epub 2015 Aug 26.
A two-year-old child was hit by a car outside his home and was immediately taken to hospital. There were no external injuries present over the body except two small abrasions on the occipital region of head. A computed tomography scan of the head was performed which revealed no cranio-cerebral injury. He was discharged from the hospital within few hours apparently well. The child was absolutely asymptomatic for a week, after which he suddenly died while playing at home. Autopsy revealed left ventricular free wall rupture and pericardial haematoma. This case report discusses the rare incidence of delayed cardiac rupture due to blunt trauma resulting in haemorrhagic tamponade in an asymptomatic child.
一名两岁儿童在家门外被汽车撞到，随后立即被送往医院。除头部枕部有两处小擦伤外，身体没有其他外伤。进行了头部计算机断层扫描，结果显示没有颅脑损伤。他在几个小时内就出院了，看起来一切正常。这孩子一周来完全没有症状，之后却在在家玩耍时突然死亡。尸检显示左心室游离壁破裂和心包血肿。本病例报告讨论了钝性创伤导致无症状儿童发生出血性心包填塞的罕见延迟性心脏破裂发生率。
