You are here » CORE INFO » Reviews » Visceral Injuries » What are the features of visceral injuries occurring as a consequence of physical abuse? » Results

Results

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

  • Study designs:
  • 82 case series / studies 1-5,7,8-13,15-29,31-42,45-50,52,54-75,77-90
  • 6 cross-sectional studies 6,30,43,44,51,53
  • 2 uncontrolled retrospective cohort 14,76
  • Only seven comparative studies were conducted 6,24,30,45,51,76,87
  • Age: 0 – 16 years
  • Gender: Two studies analysed the results by gender and found no difference between the abused and non abused children 24, 76
 

Influence of ethnicity and socio-economic group

These aspects were not addressed by the included studies

Click here to open

References

  1. Ablin DS, Reinhart MA. Esophageal perforation with mediastinal abscess in child abuse. Pediatric Radiology. 1990;20(7):524-525 [Pubmed]
  2. Anchala K, Wright MS. Finding the hidden injury: Pediatric trauma puzzlers. Clinical Pediatric Emergency Medicine. 2001;2(1):71-75 [Citation provided by Science Direct]
  3. Anderst JD. Chylothorax and child abuse. Pediatric Critical Care Medicine. 2007;8(4): 394-396 [Pubmed]
  4. Aoki Y, Nata M., Hashiyada M, Sagisaka K. Laceration of the liver with delayed massive intra-abdominal hemorrhage: a case report of child abuse. Japanese Journal of Legal Medicine. 1997;51(1):44-47 [Pubmed]
  5. Bansal BC, Abramo TJ. Subcutaneous emphysema as an uncommon presentation of child abuse. American Journal of Emergency Medicine. 1997;15(6):573-575 [Pubmed]
  6. Barnes PM, Norton CM, Dunstan FD, Kemp AM, Yates DW, Sibert JR. Abdominal injury due to child abuse. Lancet. 2005;366(9481):234-235 [Pubmed]
  7. Beauchamp JM, Belanger MA, Neitzschman HR. The diagnosis of subcapsular hematoma of the liver by scintigraphy. Southern Medical Journal. 1976;69(12):1579-1581 [Pubmed]
  8. Beckmann KR, Nozicka CA. Small bowel perforation: an unusual presentation for child abuse. Journal of the American Osteopathic Association. 2000;100(8):496-497 [Pubmed]
  9. Benhaim P, Strear C, Knudson M, Neal C, Coulter K, Villarreal S. Posttraumatic chylous ascites in a child: recognition and management of an unusual condition. The Journal of Trauma, Injury, Infection and Critical Care. 1995;39(6):1175-1177 [Pubmed]
  10. Beshay VE, Beshay JE, Rosenberg AJ. Chylous ascites: A case of child abuse and an overview of a rare condition. Journal of Pediatric Gastroenterology and Nutrition. 2001;32(4):487-489 [Pubmed]
  11. Boysen, BE. Chylous ascites: Manifestation of the battered child syndrome. American Journal of Diseases of Children. 1975;129(11):1338-1339 [Pubmed]
  12. Bratu M, Dower JC, Siegel B, Hosney SH. Jejunal hematoma, child abuse, and Felson's sign. Connecticut Medicine. 1970;34(4):261-264 [Pubmed]
  13. Cameron CM, Lazoritz S, Calhoun AD. Blunt abdominal injury: Simultaneously occurring liver and pancreatic injury in child abuse. Pediatric Emergency Care. 1997;13(5):334-336 [Pubmed]
  14. Caniano DA, Beaver BL, Boles ET. Child abuse. An update on surgical management in 256 cases. Annals of Surgery. 1986;203(2):219-224 [Pubmed]
  15. Case ME, Nanduri R. Laceration of the stomach by blunt trauma in a child: a case of child abuse. Journal of Forensic Sciences. 1983;28(2):496-501 [Pubmed]
  16. Chen MH, Lee CH, Wu CL, Su MC, Wu WH, Yeh WR. Sonographic presentation of chronic pancreatitis complicated with acute duodenal obstruction in a battered child. Journal of Clinical Ultrasound. 1994;22(5):334-337 [Pubmed]
  17. Coant PN, Kornberg AE, Brody AS, Edwards-Holmes K. Markers for occult liver injury in cases of physical abuse in children. Pediatrics. 1992;89(2):274-278 [Pubmed]
  18. Cohle SD, Hawley DA, Berg KK, Kiesel E., Pless JE. Homicidal cardiac lacerations in children. Journal of Forensic Sciences. 1995;40(2):212-218 [Pubmed]
  19. Conradi S, Brissie R. Battered child syndrome in a four year old with previous diagnosis of Reye's syndrome. Forensic Science International. 1986;30(2-3):195-203 [Pubmed]
  20. Cordner SM, Burke MP, Dodd MJ, Lynch MJ, Ranson DL, Robertson SD. Issues in child homicides: 11 cases. Legal Medicine. 2001;3(2):95-103 [Pubmed]
  21. Cumberland GD, Riddick L, McConnell CF. Intimal tears of the right atrium of the heart due to blunt force injuries to the abdomen: Its mechanism and implications. The American Journal of Forensic Medicine and Pathology. 1991;12(2):102-104 [Pubmed]
  22. deRoux SJ, Prendergast NC. Lacerations of the hepatoduodenal ligament, pancreas and duodenum in a child due to blunt impact. Journal of Forensic Sciences. 1998;43(1):222-224 [Pubmed]
  23. deRoux SJ, Prendergast NC. Adrenal lacerations in child abuse: a marker of severe trauma. Pediatric Surgery International. 2000;16(1-2):121-123 [Pubmed]
  24. Darling SE, Done SL, Friedman SD, Feldman KW. Frequency of intrathoracic injuries in children younger than 3 years with rib fractures. Pediatric Radiology. 2014;44(10):1230-1236 [Pubmed]

  25. Dillard RP, Stewart AG. Total parenteral nutrition in the management of traumatic chylous ascites in infancy. Clinical Pediatrics. 1985;24(5):290-292 [Pubmed]
  26. Dobi-Babic R, Katalinic S. Infanticide - Consequence of long-term alcoholism. Alcoholism. 2008;44(1):43-48
  27. Dworkind M, McGowan G, Hyams J. Abdominal Trauma - Child Abuse. Pediatrics. 1990;85(5):892 [Pubmed citation only]
  28. Eisenstein EM, Delta BG, Clifford JH. Jejunal hematoma: an unusual manifestation of the battered-child syndrome. Clinical Pediatrics. 1965;4(8):436-440 [Pubmed citation only]
  29. Fain DB, McCormick GM. An unusual case of child abuse homicide/suicide. Journal of Forensic Sciences. 1988;33(2):554-557 [Pubmed]
  30. Gaines BA, Shultz BS, Morrison K, Ford HR. Duodenal injuries in children: Beware of child abuse. Journal of Pediatric Surgery. 2004;39(4):600-602 [Pubmed]
  31. Geismar SL, Tilelli JA, Campbell JB, Chiaro JJ. Chylothorax as a manifestation of child abuse. Pediatric Emergency Care. 1997;13(6):386-389 [Pubmed]
  32. Gipson CL, Tobias JD. Flail chest in a neonate resulting from nonaccidental trauma. Southern Medical Journal. 2006;99(5):536-538 [Pubmed]
  33. Glick RD, La Quaglia MP. Fungal sepsis in a patient with duodenal hematoma. Journal of Pediatric Surgery. 2000;35(4):627-629 [Pubmed]
  34. Gornall P, Ahmed S, Jolleys A, Cohen SJ. Intra-abdominal injuries in the battered baby syndrome. Archives of Disease in Childhood. 1972;47(252):211-214 [Pubmed citation only]
  35. Grace A, Kalinkiewicz M, Drake-Lee AB. Covert manifestations of child abuse. British Medical Journal. 1984;289:1041-1042 [Pubmed citation only]
  36. Green HG. Child abuse presenting as chylothorax. Pediatrics. 1980;66(4):620-621 [Pubmed citation only]
  37. Grosfeld JL, Ballantine TVN. Surgical aspects of child abuse (trauma-X). Pediatric Annals. 1976;5(10):106-120 [Pubmed citation only]
  38. Guleserian KJ, Gilchrist BF, Luks FI, Wesselhoeft CW, DeLuca FG. Child abuse as a cause of traumatic chylothorax. Journal of Pediatric Surgery. 1996;31(12):1696-1697 [Pubmed]
  39. Gunther WM, Symes SA, Berryman HE. Characteristics of child abuse by anteroposterior manual compression versus cardiopulmonary resuscitation: case reports. American Journal of Forensic Medicine & Pathology. 2000;21(1):5-10 [Pubmed]
  40. Gurland B, Dolgin SE, Shlasko E, Kim U. Pneumatosis intestinalis and portal vein gas after blunt abdominal trauma. Journal of Pediatric Surgery. 1998;33(8):1309-1311 [Pubmed]
  41. Halsted CC, Shapiro SR. Child abuse: acute renal failure from ruptured bladder. American Journal of Diseases of Children. 1979;133(8):861-862 [Pubmed citation only]
  42. Hamilton A, Humphreys WG. Duodenal rupture complicating childhood non-accidental injury. Ulster Medical Journal. 1985;54(2):221-223 [Pubmed]
  43. Hicks RA, Gaughan DC. Understanding fatal child abuse. Child Abuse and Neglect. 1995;19(7):855-863 [Pubmed]
  44. Hilmes MA, Hernanz-Schulman M, Greeley CS, Piercey LM., Yu C, Kan JH. CT identification of abdominal injuries in abused pre-school-age children. Pediatric Radiology. 2011;41(5):643-651 [Pubmed]
  45. Jacombs ASW, Wines M, Holland AJA, Ross FI, Shun A, Cass DT. Pancreatic trauma In children. Journal of Pediatric Surgery. 2004;39(1):96-99 [Pubmed]
  46. Karpas A, Yen K, Sell L., Frommelt PC. Severe blunt cardiac injury in an infant: A case of child abuse. The Journal of Trauma, Injury, Infection and Critical Care. 2002;52(4):759-764 [Pubmed citation only]
  47. Kelley JE. Duodenal hematoma: Case report. Military Medicine. 1982;147(2):106-108 [Pubmed citation only]
  48. Kleinman PK, Raptopoulos VD, Brill PW. Occult nonskeletal trauma in the battered-child syndrome. Radiology. 1981;141(2):393-396 [Pubmed citation only]
  49. Kleinman PK, Spevak MR, Hansen M. Mediastinal pseudocyst caused by pharyngeal perforation during child abuse. AJR American Journal of Roentgenology. 1992;158(5):1111-1113 [Pubmed citation only]
  50. Lautz T, Leonhardt D, Rowell E, Reynolds M. Intraperitoneal bladder rupture as an isolated manifestation of nonaccidental trauma in a child. Pediatric Emergency Care. 2009;25(4):260-262 [Pubmed]
  51. Ledbetter DJ, Hatch Jr EI, Feldman KW, Fligner CL, Tapper D. Diagnostic and surgical implications of child abuse. Archives of Surgery. 1988;123(9):1101-1105 [Pubmed]
  52. Lieberman I, Chiasson D, Podichetty VK. Aortic disruption associated with L2-L3 fracture-dislocation in a case of child abuse: a case report. The Journal of Bone and Joint Surgery. 2010;92(7):1670-1674 [Pubmed citation only]
  53. Lindberg D, Makoroff K, Harper N, Laskey A, Bechtel K, Deye K, Shapiro R, for the ULTRA Investigators. Utility of hepatic transaminases to recognize abuse in children. Pediatrics. 2009;124(2):509-516 [Pubmed]
  54. Marupaka SK, Unnithan DV. Esophageal perforation in an abandoned newborn. Pediatrics International. 2007;49(3):400-402 [Pubmed citation only]
  55. McCort J, Vaudagna J. Visceral injuries in battered children. Radiology. 1964; 82:424-428 [Pubmed citation only]
  56. McDowell HP, Fielding DW. Traumatic perforation of the hypopharynx - an unusual form of abuse. Archives of Disease in Childhood. 1984;59(9):888-889 [Pubmed]
  57. McEniery J, Hanson R, Grigor, W, Horowitz A. Lung injury resulting from a nonaccidental crush injury to the chest. Pediatric Emergency Care. 1991;7(3):166-168 [Pubmed]
  58. Neuer FS, Roberts FF, McCarthy V. Osteolytic lesions following traumatic pancreatitis. American Journal of Diseases of Children. 1977;131(7):738-740 [Pubmed]
  59. Ng CS, Hall CM. Costochondral junction fractures and intra-abdominal trauma in non-accidental injury (child abuse). Pediatric Radiology. 1998;28(9):671-676 [Pubmed]
  60. Ng CS, Hall CM, Shaw DG. The range of visceral manifestations of non-accidental injury. Archives of Disease in Childhood. 1997;77(2):167-174 [Pubmed citation only]
  61. Nijs S, Vanclooster P, de Gheldere C, Garmijn K. Duodenal transection in a battered child: a case report. Acta Chirurgica Belgica. 1997;97(4):192-193 [Pubmed]
  62. Olazagasti JC, Fitzgerald JF, White SJ, Chong SKF. Chylous ascites: A sign of unsuspected child abuse. Pediatrics. 1994;94(5):737-739 [Pubmed citation only]
  63. Orel SG, Nussbaum AR, Sheth S, Yale-Loehr A, Sanders RC. Duodenal hematoma in child abuse: sonographic detection. AJR American Journal of Roentgenology. 1988;151(1):147-149 [Pubmed citation only]
  64. Pena SD, Medovy H. Child abuse and traumatic pseudocyst of the pancreas. Journal of Pediatrics.1973;83(6):1026-1028 [Pubmed citation only]
  65. Porzionato A, Macchi V, Aprile A, De Caro R. Cervical soft tissue lesions in the shaken infant syndrome: a case report. Medicine Science and the Law. 2008;48(4):346-349 [Pubmed]
  66. Reece RM, Arnold J, Splain J. Pharyngeal perforation as a manifestation of child abuse. Child Maltreatment. 1996;1(4):364-367 [Abstract provided by Sage Journals]
  67. Rees A, Symons J, Joseph M, Lincoln C. Ventricular septal defect in a battered child. British Medical Journal. 1975;1(5948):20-21 [Pubmed citation only]
  68. Roche KJ, Genieser NB, Berger DK, Ambrosino MM. Traumatic abdominal pseudoaneurysm secondary to child abuse. Pediatric Radiology. 1995;25(Suppl 1):S247-248 [Pubmed]
  69. Rosenberg HK. Traumatic avulsion of the vascular supply of a crossed unfused ectopic kidney: complementary roles of ultrasonography and intravenous pyelography. Journal of Ultrasound in Medicine. 1984;3(2):89-91 [Pubmed]
  70. Salmon MA. The spectrum of abuse in the battered-child syndrome. Injury. 1971;2(3):211-217 [Pubmed citation only]
  71. Sawyer RW, Hartenberg MA, Benator RM. Intraperitoneal bladder rupture in a battered child. International Journal of Pediatric Nephrology. 1987;8(4):227-230 [Pubmed]
  72. Simpson K. Battered babies: Conviction for murder. British Medical Journal. 1965;1(5431):393
  73. Sirotnak AP. Intraperitoneal bladder rupture: an uncommon manifestation of child abuse. Clinical Pediatrics. 1994;33(11):695-696 [Pubmed citation only]
  74. Slovis TL, Berdon, WE, Haller, JO, Baker, DH, Rosen, L. Pancreatitis and the battered child syndrome. Report of 2 cases with skeletal involvement. American Journal of Roentgenology, Radium Therapy & Nuclear Medicine. 1975;125(2):456-461 [Pubmed]
  75. Sola JE, Cateriano, JH, Thompson, WR, Neville, HL. Pediatric penetrating cardiac injury from abuse: a case report. Pediatric Surgery International. 2008;24(4):495-497 [Pubmed]
  76. Sowrey L, Lawson KA, Garcia-Filion P, Notrica D, Tuggle D, Eubanks III JW, Maxson RT, Recicar J, Megison SM, Garcia NM. Duodenal injuries in the very young: child abuse? The Journal of Trauma and Acute Care Surgery. 2013;74(1):136-141. [Pubmed]

  77. Stewart DR, Byrd, CL, Schuster, SR. Intramural hematomas of the alimentary tract in children. Surgery. 1970;68(3):550-557 [Pubmed citation only]
  78. Stone RK, Harawitz, A, San Filippo, JA, Gromisch, DS. Needle perforation of the liver in an abused infant. Clinical Pediatrics. 1976;15(10):958-959 [Pubmed citation only]
  79. Sujka SK, Jewett, TC, Jr, Karp, MP. Acute scrotal swelling as the first evidence of intraabdominal trauma in a battered child. Journal of Pediatric Surgery. 1988;23(4):380 [Pubmed]
  80. Swadia ND, Thakore, AB, Patel, BR, Bhavani, SS. Unusual form of child abuse presenting as an acute abdomen. British Journal of Surgery. 1981;68(9):668 [Pubmed citation only]
  81. Tavill MA, Trimmer, WR, Austin, MB. Pediatric cervical esophageal perforation secondary to abusive blunt thoracic trauma. International Journal of Pediatric Otorhinolaryngology. 1996;35(3):263-269 [Pubmed]
  82. Terreros A, Zimmerman, S. Duodenal hematoma from a fall down the stairs. Journal of Trauma Nursing. 2009;16(3):166-168 [Pubmed]
  83. Tostevin PMJ, Hollis, LJ, Bailey, CM. Pharyngeal trauma in children - accidental and otherwise. The Journal of Laryngology and Otology. 1995;109(12):1168-1175 [Pubmed]
  84. Tracy T, Jr, O'Connor, TP, Weber, TR. Battered children with duodenal avulsion and transection. American Surgeon. 1993;59(6):342-345 [Pubmed]
  85. Vollman RW, Keenan, WJ, Eraklis, AJ. Post-traumatic chylous ascites in infancy. New England Journal of Medicine. 1966;275(16):875-877 [Pubmed citation only]
  86. Wilson TM, Anderson, BJ, Duncan, D. Nonaccidental injury presenting as pneumococcal sepsis in an infant. Pediatric Emergency Care. 1996;12(4):283-284 [Pubmed citation only]
  87. Wood J, Rubin, DM, Nance, ML, Christian, CW. Distinguishing inflicted versus accidental abdominal injuries in young children. The Journal of Trauma, Injury, Infection and Critical Care. 2005;59(5):1203-1208 [Pubmed]
  88. Wu JW, Chen, MY, Auringer, ST. Portal venous gas: an unusual finding in child abuse. The Journal of Emergency Medicine. 2000;18(1):105-107 [Pubmed citation only]
  89. Yang JW, Kuppermann, N, Rosas, A. Child abuse presenting as pseudorenal failure with a history of a bicycle fall. Pediatric Emergency Care. 2002;18(2):91-92 [Pubmed citation only]
  90. Yavuz MS, Buyukyavuz, I, Savas, C, Ozguner, IF, Kupeli, A, Asirdizer, M. A battered child case with duodenal perforation. Journal of Forensic and Legal Medicine. 2008;15(4):259-262 [Pubmed]

 

^ back to top