title: A battered child case with duodenal perforation.
abstract: Battered child syndrome can refer to children exposed to harmful, non-accidental and preventable physical treatment by those are responsible for their care which prevents the child's physical, cognitive and spiritual development. A 28 months old boy was submitted to hospital due to abdominal blunt trauma. He had been firstly applied to Isparta Children Hospital by his parents with the complaint of fever. In the first examination, he was conscious, his general condition was poor there was respiratory acidosis, and neck stiffness was present. There were several fresh traumatic lesions on his face and left arm. His complaints were thought due to meningitis and antibiotics were started. He was transported to Suleyman Demirel University Hospital after a day because of vomiting, abdominal pain, tender, distended and silent abdomen, and air-fluid levels in direct abdominal X-rays. An old fracture of the right 9th rib was detected with chest X-ray in university hospital. Additionally, abdominal ultrasound scan showed distended bowel loops filled with fluid. Laparotomy revealed a complete rupture of the junction of the third and fourth parts of the duodenum and several hemorrhagic regions on bowel loops. The patient was discharged after 42 days. This case report described the case through both medical and legal processed in Turkey.
authors.affiliation: Forensic Medicine Department, Medical Faculty of Celal Bayar University, Manisa, Turkey.
authors.forename: Mehmet Sunay
authors.initials: MS
authors.lastname: Yavuz
authors.forename: Ilker
authors.initials: I
authors.lastname: Buyukyavuz
authors.forename: Cagri
authors.initials: C
authors.lastname: Savas
authors.forename: Ismet Faruk
authors.initials: IF
authors.lastname: Ozguner
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kupeli
authors.forename: Mahmut
authors.initials: M
authors.lastname: Asirdizer
mesh_terms: D001134:Arm Injuries / Q000209:etiology; D002649:Child Abuse / Q000175:diagnosis*; D002675:Child, Preschool; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005151:Facial Injuries / Q000209:etiology; D005554:Forensic Medicine; D017102:Fracture Healing; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D011859:Radiography; D012253:Rib Fractures / Q000000981:diagnostic imaging; D012421:Rupture / Q000209:etiology / Q000601:surgery; D014421:Turkey