title: Duodenal perforation: a diagnostic pitfall in non-accidental injury.
abstract: Duodenal perforation is a rare, life threatening injury associated with non-accidental blunt abdominal trauma. Diagnostic delay is common, as the true history is concealed and signs may be minimal. Double contrast computed tomography is the most sensitive investigation to confirm clinical suspicion. We report three cases, all with other features typical of non-accidental injury.
authors.affiliation: Department of Paediatric Intensive Care, Guy's Hospital, London, UK.
authors.forename: M P
authors.initials: MP
authors.lastname: Champion
authors.forename: C A
authors.initials: CA
authors.lastname: Richards
authors.forename: S A
authors.initials: SA
authors.lastname: Boddy
authors.forename: H C
authors.initials: HC
authors.lastname: Ward
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications; D014057:Tomography, X-Ray Computed / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000150:complications