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Child abuse with multiple sharp foreign bodies penetrating the chest wall causing hemothorax and cardiac tamponade in

Hatem A ElSorogy1, Mohammed Elshalakamy1, Karim S Ibrahim1

  • 1Cardiothoracic Surgery Department, Mansoura University, Mansoura, Egypt.

Asian Cardiovascular & Thoracic Annals
|October 9, 2023
PubMed

Insights

Repeated child abuse led to life-threatening hemothorax and cardiac tamponade in a young male with cerebral palsy. Prompt surgical intervention, including foreign body removal, was crucial for his survival.

Area of Science:

  • Pediatric Trauma
  • Cardiothoracic Surgery
  • Child Abuse Forensics

Background:

  • Child abuse can manifest with severe thoracic injuries.
  • Cerebral palsy presents unique challenges in managing trauma patients.

Observation:

  • A 14-year-old male with cerebral palsy experienced recurrent left-sided hemothorax and cardiac tamponade.
  • Multiple metallic foreign bodies were found in the chest wall on two separate occasions.

Findings:

  • Initial management involved limited incision foreign body removal and chest tube insertion.
  • A subsequent presentation required median sternotomy for foreign body removal, one lodged in the Left Anterior Descending (LAD) artery.

Implications:

  • Highlights the critical need for recognizing and managing severe thoracic trauma secondary to child abuse.
  • Emphasizes the importance of thorough surgical exploration and foreign body retrieval in complex pediatric trauma cases.
  • Underscores the necessity of a multidisciplinary approach, including forensic investigation, in cases of suspected child abuse with severe injuries.

Keywords:
Foreign bodiesabusecerebral palsytamponade

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