TY - JOUR
T1 - Delayed Presentation of Jejuno-Jejunal Fistula with Stricture after Physical Child Abuse
AU - Solaiman, Adil Z.
AU - Kulaylat, Afif N.
AU - Santos, Mary Catherine
AU - Rocourt, Dorothy
AU - Methratta, Sosamma
AU - Millington, Karmaine
AU - Alexander, Chandran
N1 - Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Small intestinal injury is seldom described in the context of child abuse. Signs and symptoms are subtle, often leading to delays in diagnosis. We describe a 3-year-old boy initially admitted with severe blunt abdominal trauma from physical child abuse. He was successfully managed nonoperatively. The child was then hospitalized several times for nonspecific abdominal symptoms until diagnostic laparoscopy discovered a jejunal stricture with a proximal jejuno-jejunal fistula. Symptoms fully resolved after resection. Delayed presentation of small intestinal injury should remain on the differential diagnosis in the evaluation of persistent abdominal symptoms in a child with a prior history of physical abuse, even if imaging studies do not reveal specific abnormalities.
AB - Small intestinal injury is seldom described in the context of child abuse. Signs and symptoms are subtle, often leading to delays in diagnosis. We describe a 3-year-old boy initially admitted with severe blunt abdominal trauma from physical child abuse. He was successfully managed nonoperatively. The child was then hospitalized several times for nonspecific abdominal symptoms until diagnostic laparoscopy discovered a jejunal stricture with a proximal jejuno-jejunal fistula. Symptoms fully resolved after resection. Delayed presentation of small intestinal injury should remain on the differential diagnosis in the evaluation of persistent abdominal symptoms in a child with a prior history of physical abuse, even if imaging studies do not reveal specific abnormalities.
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U2 - 10.1097/PEC.0000000000000445
DO - 10.1097/PEC.0000000000000445
M3 - Article
C2 - 25899753
AN - SCOPUS:84978762989
SN - 0749-5161
VL - 32
SP - 462
EP - 464
JO - Pediatric Emergency Care
JF - Pediatric Emergency Care
IS - 7
ER -