Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration.
autopsy
cardiac trauma
cardiac ventricular lacerations
child abuse
forensic pathology
forensic science
hemo-pericardium
postmortem CT
scald burn
Journal
Journal of forensic sciences
ISSN: 1556-4029
Titre abrégé: J Forensic Sci
Pays: United States
ID NLM: 0375370
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
10
05
2018
revised:
07
06
2018
accepted:
18
06
2018
pubmed:
11
7
2018
medline:
27
1
2019
entrez:
11
7
2018
Statut:
ppublish
Résumé
Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left ventricular rupture due to child abuse has been reported. We report a child who sustained a fatal left ventricular apical rupture. It appeared to have resulted from hydrostatic forces resulting from abusive blunt thoracic injury. That he was being abused was previously missed when he was presented to the emergency department with facial pyoderma. It was not noted that he also had lip and oral mucosal injury, sites not affected by staph toxins. As a result, his underlying, abusive and secondarily infected, facial flow type scald burn was not appreciated. Within a week thereafter his fatal injury occurred, accompanied by extensive and obvious associated abusive injuries. Postmortem high-detail whole body computed tomography scanning aided the autopsy. Although rare, ventricular rupture from abusive blunt thoracic injury can occur.
Identifiants
pubmed: 29989173
doi: 10.1111/1556-4029.13857
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
284-288Subventions
Organisme : Academic Enrichment Fund Grant from Seattle Children's
Informations de copyright
© 2018 American Academy of Forensic Sciences.