Child abuse: practical application of autopsy, radiological, and microscopic studies.
Détails
ID Serval
serval:BIB_C61FA86FB2EB
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Child abuse: practical application of autopsy, radiological, and microscopic studies.
Périodique
Journal of Forensic Sciences
ISSN
1556-4029 (Electronic)
ISSN-L
0022-1198
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
53
Numéro
6
Pages
1424-1429
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublishPDF: Case Report
Résumé
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.
Mots-clé
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
Création de la notice
12/01/2016 10:02
Dernière modification de la notice
20/08/2019 15:41