Child abuse: practical application of autopsy, radiological, and microscopic studies.
Details
Serval ID
serval:BIB_C61FA86FB2EB
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Child abuse: practical application of autopsy, radiological, and microscopic studies.
Journal
Journal of Forensic Sciences
ISSN
1556-4029 (Electronic)
ISSN-L
0022-1198
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
53
Number
6
Pages
1424-1429
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublishPDF: Case Report
Abstract
A 17-month-old male infant died at home. The infant's right arm was immobilized because of a humeral fracture 1 month earlier. The circumstances of death appeared unclear to the police investigators and a medicolegal autopsy was carried out. External examination revealed diffuse ecchymoses of varying color. Postmortem imaging was performed prior to autopsy (X-rays, multislice computed tomography [MSCT], and focused brain magnetic resonance imaging [MRI]). These investigations revealed four rib fractures of varying ages, one of which was posterior. Cerebral and pericerebral traumatic lesions were also diagnosed: bilateral subdural hematomas, intraventricular, meningeal, and interpedoncular hemorrhages. In the abdomen, fresh blood was visible within the anterior abdominal wall and the mesenteric root. Autopsy and microscopic study confirmed these lesions. This case report illustrates the valuable assistance rendered by MSCT and MRI to diagnose abuse when a child has died in unclear circumstances.
Keywords
Abdomen/pathology, Brain/pathology, Brain Injuries/diagnosis, Child Abuse/diagnosis, Ecchymosis/pathology, Forensic Pathology, Hematoma, Epidural, Spinal/diagnosis, Hematoma, Subdural/diagnosis, Hemorrhage/pathology, Humans, Humeral Fractures/pathology, Infant, Intracranial Hemorrhages/diagnosis, Magnetic Resonance Imaging, Male, Rib Fractures/diagnosis, Tomography, X-Ray Computed/methods
Pubmed
Web of science
Create date
12/01/2016 10:02
Last modification date
20/08/2019 15:41