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Duodenal transection in a battered child: a case report
S Nijs1, P Vanclooster, C de Gheldere
1Department of general and abdominal surgery, H. Hartziekenhuis, Lier, Belgium.
Acta Chirurgica Belgica
|August 1, 1997
Insights
Severe duodenal injury from child abuse is rare but serious. Prompt diagnosis and treatment are vital for better outcomes in pediatric blunt abdominal trauma cases.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Child Abuse Forensics
Background:
- Perforating duodenal injuries are uncommon complications of blunt abdominal trauma.
- Child abuse can cause severe internal injuries, including duodenal disruption.
- Delayed presentation in pediatric trauma often leads to worse outcomes.
Abstract:
A case of severe duodenal injury following child abuse is presented. Perforating duodenal injuries are seldom seen after blunt abdominal trauma. A high energy force directed to the center of the upper abdomen may result in disruption of the duodenum. Early diagnosis and appropriate treatment are necessary to improve the outcome. Most children indeed are seen too late and in septic shock because of neglect.