Pleural effusion with rib fractures in infant
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Updated: Feb 9, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Akinobu Taniguchi1, Takashi Maeda1, Takashi Tachibana1
1Department of Neonatology Ogaki Municipal Hospital 4-86 Minaminokawacho Ogaki 503-8502 Japan.
Insights
Child abuse can cause rib fractures leading to pleural effusion in infants. This case highlights the need to consider non-accidental trauma in diagnosing infant pleural effusions.
Area of Science:
- Pediatric Medicine
- Radiology
- Forensic Pathology
Background:
- Pleural effusion in infants has diverse etiologies.
- Child abuse is a significant concern in pediatric healthcare.
- Identifying the cause of pleural effusion is critical for timely intervention.
Purpose of the Study:
- To present a case of infant pleural effusion secondary to rib fractures from child abuse.
- To emphasize the diagnostic importance of considering non-accidental trauma.
Main Methods:
- Case report presentation.
- Review of clinical presentation, imaging findings, and diagnostic workup.
- Correlation with suspected child abuse.
Main Results:
- The infant presented with pleural effusion.
- Radiographic evidence revealed associated rib fractures.
- Child abuse was identified as the underlying cause.
Conclusions:
- Rib fractures due to child abuse should be a key consideration in the differential diagnosis of infant pleural effusion.
- Early recognition of non-accidental trauma is vital for infant well-being and appropriate management.
Abstract:
The causes of pleural effusions in children are various. This case demonstrates the importance of considering rib fractures associated with child abuse in the differential diagnosis of pleural effusion in infants.
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