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Cardiac rupture delayed for a week in an asymptomatic child following blunt trauma

Shashank Pooniya1, C Behera2, Asit Ranjan Mridha1

  • 1All India Institute of Medical Sciences AIIMS, India.

Medicine, Science, and the Law
|August 28, 2015
PubMed

Insights

A child experienced delayed cardiac rupture and sudden death a week after blunt head trauma, despite initial normal scans. This rare case highlights the potential for delayed, fatal complications from seemingly minor injuries.

Area of Science:

  • Pediatric Trauma
  • Cardiology
  • Forensic Pathology

Background:

  • Blunt force trauma can cause internal injuries that are not immediately apparent.
  • Delayed complications from trauma, especially in children, require careful consideration.

Observation:

  • A two-year-old child sustained head abrasions from being hit by a car.
  • Initial hospital evaluation, including a head CT scan, showed no cranio-cerebral injury, and the child was discharged.
  • The child remained asymptomatic for one week post-injury before suddenly dying at home.

Findings:

  • Autopsy revealed left ventricular free wall rupture and pericardial hematoma.
  • This indicates a rare instance of delayed cardiac rupture following blunt force trauma.

Implications:

  • This case underscores the importance of recognizing the potential for delayed cardiac complications after seemingly minor blunt trauma in children.
  • It highlights the need for heightened awareness and potentially longer observation periods in pediatric blunt trauma cases.
  • Further research into the mechanisms of delayed cardiac rupture in pediatric blunt trauma is warranted.

Keywords:
Delayed cardiac ruptureautopsyblunt traumachildrenhistopathology

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