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An unusual domestic accident: a penetrating abdominal wound with intestinal evisceration in a child

M R Sánchez Jarquín1, J L Alonso Calderón, F Flórez Pérez

  • 1Department of Pediatric Surgery, "Niño Jesus" Hospital, C/Menendez Pelayo 65, E-28009 Madrid, Spain.

Pediatric Surgery International
|June 26, 1998
PubMed

Insights

A rare domestic accident involving a glass shard caused a 2-year-old boy

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Domestic Accidents

Background:

  • Penetrating abdominal injuries are uncommon in young children.
  • Domestic accidents are a potential cause of pediatric trauma.
  • Evisceration through the umbilicus is a rare presentation of abdominal injury.

Observation:

  • A 2-year-old boy presented with abdominal evisceration.
  • A piece of glass was found in the patient's heel.
  • The injury was attributed to falling on a glass after pouring water.

Findings:

  • The case represents a highly unusual domestic accident.
  • Initial suspicion of child abuse was ruled out by the accident's mechanism.
  • No similar cases of glass-related domestic abdominal trauma were found in literature.

Implications:

  • Highlights the importance of considering domestic accidents in pediatric trauma.
  • Underscores the need for thorough history taking and physical examination in evaluating abdominal injuries.
  • Suggests awareness among caregivers regarding potential household hazards for young children.

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