Evaluation of the abdomen in the setting of suspected child abuse.
Abdomen
Child abuse
Computed tomography
Contrast-enhanced ultrasound
Trauma
Journal
Pediatric radiology
ISSN: 1432-1998
Titre abrégé: Pediatr Radiol
Pays: Germany
ID NLM: 0365332
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
01
06
2020
accepted:
16
12
2020
revised:
19
08
2020
pubmed:
24
3
2021
medline:
16
10
2021
entrez:
23
3
2021
Statut:
ppublish
Résumé
Abusive intra-abdominal injuries are less common than other types of injuries, such as fractures and bruises, identified in victims of child physical abuse, but they can be deadly. No single abdominal injury is pathognomonic for abuse, but some types and constellations of intra-abdominal injuries are seen more frequently in abused children. Identification of intra-abdominal injuries can be important clinically or forensically. Injuries that do not significantly change clinical management can still elevate a clinician's level of concern for abuse and thereby influence subsequent decisions affecting child protection efforts. Abusive intra-abdominal injuries can be clinically occult, necessitating screening laboratory evaluations to inform decisions regarding imaging. Once detected, consideration of developmental abilities of the child, type and constellation of injuries, and the forces involved in any provided mechanism of trauma are necessary to inform assessments of plausibility of injury mechanisms and level of concern for abuse. Here we describe the clinical, laboratory and imaging evaluation of the abdomen in the setting of suspected child abuse.
Identifiants
pubmed: 33755750
doi: 10.1007/s00247-020-04944-2
pii: 10.1007/s00247-020-04944-2
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1044-1050Références
Loder RT, Feinberg JR (2007) Orthopaedic injuries in children with nonaccidental trauma: demographics and incidence from the 2000 kids’ inpatient database. J Pediatr Orthop 27:421–426
pubmed: 17513964
Lane WG, Dubowitz H, Langenberg P (2009) Screening for occult abdominal trauma in children with suspected physical abuse. Pediatrics 124:1595–1602
pubmed: 19933726
pmcid: 2813699
Lindberg D, Makoroff K, Harper N et al (2009) Utility of hepatic transaminases to recognize abuse in children. Pediatrics 124:509–516
pubmed: 19620197
Lindberg DM, Shapiro RA, Blood EA et al (2013) Utility of hepatic transaminases in children with concern for abuse. Pediatrics 131:268–275
pubmed: 23319537
Barnes PM, Norton CM, Dunstan FD et al (2005) Abdominal injury due to child abuse. Lancet 366:234–235
pubmed: 16023514
Trokel M, Discala C, Terrin NC, Sege RD (2006) Patient and injury characteristics in abusive abdominal injuries. Pediatr Emerg Care 22:700–704
pubmed: 17047468
Carter KW, Moulton SL (2016) Pediatric abdominal injury patterns caused by “falls”: a comparison between nonaccidental and accidental trauma. J Pediatr Surg 51:326–328
pubmed: 26850907
Lane WG, Dubowitz H, Langenberg P, Dischinger P (2012) Epidemiology of abusive abdominal trauma hospitalizations in United States children. Child Abuse Negl 36:142–148
pubmed: 22398302
pmcid: 3589583
Maguire SA, Upadhyaya M, Evans A et al (2013) A systematic review of abusive visceral injuries in childhood — their range and recognition. Child Abuse Negl 37:430–445
pubmed: 23306146
Wood J, Rubin DM, Nance ML, Christian CW (2005) Distinguishing inflicted versus accidental abdominal injuries in young children. J Trauma 59:1203–1208
pubmed: 16385300
Servaes S, Haller JO (2003) Characteristic pancreatic injuries secondary to child abuse. Emerg Radiol 10:90–93
pubmed: 15290514
Roaten JB, Partrick DA, Nydam TL et al (2006) Nonaccidental trauma is a major cause of morbidity and mortality among patients at a regional level 1 pediatric trauma center. J Pediatr Surg 41:2013–2015
pubmed: 17161194
Holmes JF, Lillis K, Monroe D et al (2013) Identifying children at very low risk of clinically important blunt abdominal injuries. Ann Emerg Med 62(107–116):e102
Holmes JF, Kuppermann N (2013) In reply. Ann Emerg Med 62:277–278
pubmed: 23969130
Lindberg DM, Berger RP, Lane WG (2013) PECARN abdominal injury rule should exclude potentially abused children. Ann Emerg Med 62:276–277
pubmed: 23969129
Christian CW, Committee on Child Abuse and Neglect, American Academy of Pediatrics (2015) The evaluation of suspected child physical abuse. Pediatrics 135:e1337–e1354
pubmed: 25917988
Section on Radiology, American Academy of Pediatrics (2009) Diagnostic imaging of child abuse. Pediatrics 123:1430–1435
Expert Panel on Pediatric Imaging, Wootton-Gorges SL, Soares BP et al (2017) ACR appropriateness criteria suspected physical abuse — child. J Am Coll Radiol 14:S338–S349
Paine CW, Fakeye O, Christian CW, Wood JN (2019) Prevalence of abuse among young children with rib fractures: a systematic review. Pediatr Emerg Care 35:96–103
pubmed: 27749806
pmcid: 5378682
Holmes JF, Gladman A, Chang CH (2007) Performance of abdominal ultrasonography in pediatric blunt trauma patients: a meta-analysis. J Pediatr Surg 42:1588–1594
pubmed: 17848254
Holmes JF, Kelley KM, Wootton-Gorges SL et al (2017) Effect of abdominal ultrasound on clinical care, outcomes, and resource use among children with blunt torso trauma: a randomized clinical trial. JAMA 317:2290–2296
pubmed: 28609532
pmcid: 5815005
Valentino M, Serra C, Pavlica P et al (2008) Blunt abdominal trauma: diagnostic performance of contrast-enhanced US in children — initial experience. Radiology 246:903–909
pubmed: 18195385
Menichini G, Sessa B, Trinci M et al (2015) Accuracy of contrast-enhanced ultrasound (CEUS) in the identification and characterization of traumatic solid organ lesions in children: a retrospective comparison with baseline US and CE-MDCT. Radiol Med 120:989–1001
pubmed: 25822953
Armstrong LB, Mooney DP, Paltiel H et al (2018) Contrast enhanced ultrasound for the evaluation of blunt pediatric abdominal trauma. J Pediatr Surg 53:548–552
pubmed: 28351519
Piskunowicz M, Kosiak W, Batko T et al (2015) Safety of intravenous application of second-generation ultrasound contrast agent in children: prospective analysis. Ultrasound Med Biol 41:1095–1099
pubmed: 25701526
Yusuf GT, Sellars ME, Deganello A et al (2017) Retrospective analysis of the safety and cost implications of pediatric contrast-enhanced ultrasound at a single center. AJR Am J Roentgenol 208:446–452
pubmed: 27959665
Torres A, Koskinen SK, Gjertsen H, Fischler B (2017) Contrast-enhanced ultrasound using sulfur hexaflouride is safe in the pediatric setting. Acta Radiol 58:1395–1399
pubmed: 28173725
Bosboom D, Braam AW, Blickman JG, Wijnen RM (2006) The role of imaging studies in pancreatic injury due to blunt abdominal trauma in children. Eur J Radiol 59:3–7
pubmed: 16781837
Ibrahim A, Wales PW, Aquino MR, Chavhan GB (2020) CT and MRI findings in pancreatic trauma in children and correlation with outcome. Pediatr Radiol 50:943–952
pubmed: 32172401
Morey AF, Brandes S, Dugi DD et al (2014) Urotrauma: AUA guideline. J Urol 192:327–335
pubmed: 24857651
pmcid: 4104146
Henry MK, Lindberg DM (2020) Visceral manifestations of child abuse. In: Laskey A, Sirotnak A (eds) Child abuse: medical diagnosis and management. American Academy of Pediatrics, Itasca, pp 139–165
Alkan M, Iskit SH, Soyupak S et al (2012) Severe abdominal trauma involving bicycle handlebars in children. Pediatr Emerg Care 28:357–360
pubmed: 19680164
Lam JP, Eunson GJ, Munro FD, Orr JD (2001) Delayed presentation of handlebar injuries in children. BMJ 322:1288–1289
pubmed: 11375234
pmcid: 1120385
Cevik M, Boleken ME, Sogut O et al (2013) Abdominal injuries related to bicycle accidents in children. Pediatr Surg Int 29:459–463
pubmed: 23397590
Wang MY, Kim KA, Griffith PM et al (2001) Injuries from falls in the pediatric population: an analysis of 729 cases. J Pediatr Surg 36:1528–1534
pubmed: 11584402
Huntimer CM, Muret-Wagstaff S, Leland NL (2000) Can falls on stairs result in small intestine perforations? Pediatrics 106:301–305
pubmed: 10920155
Chiaviello CT, Christoph RA, Bond GR (1994) Stairway-related injuries in children. Pediatrics 94:679–681
pubmed: 7936895
Joffe M, Ludwig S (1988) Stairway injuries in children. Pediatrics 82:457–461
pubmed: 3405681
Larimer EL, Fallon SC, Westfall J et al (2013) The importance of surgeon involvement in the evaluation of non-accidental trauma patients. J Pediatr Surg 48:1357–1362
pubmed: 23845630
Kohler JE, Chokshi NK (2016) Management of abdominal solid organ injury after blunt trauma. Pediatr Ann 45:e241–e246
pubmed: 27403671
Stylianos S (2000) Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg 35:164–167
pubmed: 10693659
Holmes JH, Wiebe DJ, Tataria M et al (2005) The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experience. J Trauma 59:1309–1313
pubmed: 16394902
Cooper A, Floyd T, Barlow B et al (1988) Major blunt abdominal trauma due to child abuse. J Trauma 28:1483–1487
pubmed: 3172310
Trokel M, DiScala C, Terrin NC, Sege RD (2004) Blunt abdominal injury in the young pediatric patient: child abuse and patient outcomes. Child Maltreat 9:111–117
pubmed: 14871002
Lane WG, Lotwin I, Dubowitz H et al (2011) Outcomes for children hospitalized with abusive versus noninflicted abdominal trauma. Pediatrics 127:e1400–e1405
pubmed: 21555490
pmcid: 3103272