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Small bowel perforation: an unusual presentation for child abuse

Journal: The Journal of the American Osteopathic Association Date: 2000/08, 100(8):Pages: 496-497. doi: Subito , type of study: case report

Free full text   (https://www.degruyter.com/document/doi/10.7556/jaoa.2000.100.8.496/html)

Keywords:

abdominal trauma [1]
case report [514]
child abuse [3]
computed tomography [7]
duodenal diseases [1]
infant [224]
intestinal perforation [1]
nonpenetrating wounds [1]

Abstract:

Hollow viscus perforation due to inflicted blunt abdominal injury is uncommon. Diagnosis is frequently delayed because of inaccurate or absent history, nonspecific or delayed physical findings or both, and laboratory tests with low sensitivity. Computed tomographic scanning of the abdomen is the best diagnostic test available. A high index of suspicion is essential to diagnose visceral perforation early, as significant morbidity and mortality results from diagnostic delay.


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