title: Lung injury resulting from a nonaccidental crush injury to the chest.
abstract: A six-week-old infant presented with rib trauma and a lung contusion from a nonaccidental compressive chest injury. He developed an illness consistent with diffuse alveolar damage, which worsened over 26 hours. This was complicated by a pneumomediastinum, and the patient recovered with conservative management. The value of isotope bone scanning in addition to x-rays is discussed. Nonaccidental injury should be considered in the differential diagnosis of a pulmonary contusion.
authors.affiliation: Children's Hospital, Camperdown, New South Wales, Australia.
authors.forename: J
authors.initials: J
authors.lastname: McEniery
authors.forename: R
authors.initials: R
authors.lastname: Hanson
authors.forename: W
authors.initials: W
authors.lastname: Grigor
authors.forename: A
authors.initials: A
authors.lastname: Horowitz
mesh_terms: D002649:Child Abuse / Q000150:complications* / Q000523:psychology; D003288:Contusions / Q000000981:diagnostic imaging* / Q000209:etiology; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D006801:Humans; D007223:Infant; D055370:Lung Injury; D008297:Male; D011859:Radiography; D012272:Ribs / Q000293:injuries*; D013898:Thoracic Injuries / Q000150:complications*