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An unusual cause of accidental hanging in a toddler
Lakshmi Muthukrishnan1, Radhika Raman, Kuravi Nagaraju
1Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India. vcmlck@yahoo.co.in
Insights
Accidental child hanging, though rare, can be fatal due to asphyxia. This case highlights a toddler
Area of Science:
- Pediatrics
- Forensic Medicine
- Public Health
Background:
- Accidental hanging is an uncommon but serious cause of injury and death in children worldwide.
- While common in adults for suicide or homicide, childhood hanging is typically accidental, often resulting from asphyxia.
- Data on accidental hanging injuries in children is limited, particularly in Indian literature.
Observation:
- A case report of a toddler presenting with an alleged history of accidental hanging.
- The child's head was trapped between balcony railings, leading to unconsciousness and seizures.
- This unique mode of injury prompted the case report.
Findings:
- The toddler survived the asphyxial injury resulting from the unique hanging incident.
- Accidental strangulation is a significant cause of unintentional injury in infants under one year in Western countries.
- This case underscores the potential for unusual accidental hanging scenarios in children.
Implications:
- Highlights the need for increased awareness and preventative measures against accidental child strangulation.
- Emphasizes the importance of reporting unique cases to improve understanding and data in pediatric injury literature.
- Suggests a need for further research into the epidemiology and prevention of accidental hanging in children, especially in underrepresented regions.
Abstract:
Accidental hanging in children, although uncommon, has been reported worldwide. We report a case of a toddler who was brought to our hospital with an alleged history of hanging with his head trapped in-between the railings of a balcony. He became unconscious and developed seizures secondary to asphyxial injury and survived. Hanging is an important cause of homicidal and suicidal injury in adults, but in children, it is usually accidental, leading to death because of asphyxia as a result of partial or complete hanging. There is paucity of data in Indian literature regarding accidental hanging injuries in children. According to available data from western countries, strangulation ranks fourth among the causes of unintentional injury in children younger than 1 year after roadside accidents, drowning, and burns. The unique mode of hanging in this child has prompted us to report this case.
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