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Inflicted esophageal perforation

S Morzaria1, J M Walton, A MacMillan

  • 1Department of Pediatrics, Children's Hospital at Hamilton Health Sciences Corporation, McMaster University, Ontario, Canada.

Journal of Pediatric Surgery
|July 11, 1998
PubMed
Summary
This summary is machine-generated.

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Esophageal perforation in children is rare but can result from child abuse. Early diagnosis and treatment of esophageal rupture are crucial for reducing complications.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Medical Imaging

Background:

  • Esophageal perforation is an uncommon pediatric emergency.
  • Child abuse can present with complex injuries, including internal trauma.
  • Accurate diagnosis requires advanced imaging techniques.

Observation:

  • A 2.5-year-old girl presented with multiple, non-accidental soft tissue injuries.
  • Cervical spine imaging revealed prevertebral air and soft tissue swelling.
  • Computed tomography confirmed proximal esophageal rupture and a retropharyngeal abscess.

Findings:

  • The patient's esophageal perforation resolved within 13 days following abscess drainage and IV antibiotics.
  • Discrepancies in the patient's history and injury patterns suggested inflicted trauma.

Related Experiment Videos

  • Inflicted esophageal perforation is a recognized, albeit uncommon, consequence of child abuse.

    • Implications:

    • Pediatric surgeons should consider child abuse in cases of unexplained esophageal or hypopharyngeal perforation.
    • Prompt diagnosis and management of esophageal injuries minimize acute and long-term morbidity.
    • Awareness of non-accidental trauma mechanisms is vital for pediatric surgical care.