The range of visceral manifestations of non-accidental injury

Non-accidental injury (NAI) in children under the age of 17 years has an estimated incidence in the USA of 2.5%, and is considered to be on the increase. 1 The range of skeletal, intracranial, and orbital manifestations in NAI have been well described. 2-8 In comparison, visceral manifestations (exc...

Full description

Saved in:
Bibliographic Details
Published in:Archives of disease in childhood 1997-08, Vol.77 (2), p.167-174
Main Authors: Ng, C S, Hall, C M, Shaw, D G
Format: Article
Language:English
Subjects:
Abdomen
Age
Biological and medical sciences
Child
Child Abuse
Child Abuse - diagnosis
Child Safety
Child, Preschool
Female
Foreign Bodies - diagnostic imaging
Fractures
Head injuries
Humans
Infant
Injuries
Male
Medical sciences
Mortality
Neck
Needles
Patients
Personal Practice
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Spleen
Tomography
Tomography, X-Ray Computed
Trauma
Ulcers
Victimology
Viscera - diagnostic imaging
Viscera - injuries
Young Children
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Non-accidental injury (NAI) in children under the age of 17 years has an estimated incidence in the USA of 2.5%, and is considered to be on the increase. 1 The range of skeletal, intracranial, and orbital manifestations in NAI have been well described. 2-8 In comparison, visceral manifestations (excluding the superficial and cutaneous injuries) are much less common and less well recognised; they are considered to contribute less than 2% of injuries in NAI. 9 Abdominal injuries in NAI arise mainly from blunt trauma, and include contusion, laceration, and rupture of solid or hollow viscera, for example of the liver, spleen, pancreas, kidneys, and bowel. Vascular injuries are less common and include avulsion of the superior mesenteric artery and pseudoaneurysms of the abdominal aorta. 10 Chylous ascites after abdominal trauma has been described. 11 Blunt thoracic injuries commonly result in rib fractures in the infant, but intrathoracic visceral injuries are much less common than abdominal visceral injuries. 12 The former include lung contusions, chylothoraces, and cardiac lacerations and rupture. 11 13 Superficial and cutaneous injuries, for example, bruises, cuts, burns, injuries to the pinna, frenulum of the mouth, and genitalia can impart information on the mechanisms of injury.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.77.2.167