title: Strangulation by Feeding Tube in a 23-Month-Old With Down Syndrome: Case Report and Review of Literature.
abstract: Ligature strangulation, although typically homicidal in nature, has been reported as accidental in both the pediatric and adult populations. The unique mode of accidental strangulation with a gastric feeding tube in a 23-month-old with Down syndrome is currently unreported in the literature and has prompted us to report this case and look into safety modifications that can be made to these common medical devices. Given the number of children with gastric feeding tubes and concern over this exact scenario brought up by parents, it is unusual that a similar case has not been reported.
authors: From the *University of South Carolina School of Medicine Greenville; †Office of the Medical Examiner; ‡Pathology Associates of Greenville; and the §Greenville Health System University Medical Center, Greenville, SC.
authors: Paige C
authors: PC
authors: Woodham
authors: James W
authors: JW
authors: Fulcher
authors: Michael E
authors: ME
authors: Ward
mesh_terms: D000059:Accidents; D001237:Asphyxia / Q000209:etiology*; D002675:Child, Preschool; D004314:Down Syndrome; D004750:Enteral Nutrition / Q000295:instrumentation*; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000209:etiology*