Document Detail

Can birth trauma be confused for abuse?
MedLine Citation:
PMID:  20384915     Owner:  NLM     Status:  In-Process    
An unexpected infant death is usually investigated with a complete autopsy. If evidence of prior trauma is found at autopsy in these cases, suspicion is raised for nonaccidental trauma. In a young infant, the residua of trauma received during birth has the potential to be incorrectly interpreted as nonaccidental trauma. We report a the findings of a 4 1/2-month-old-infant that died unexpectedly with a healing linear skull fracture and a circular lesion over the calvarium found at autopsy. Though this lesion was concerning, the remainder of the autopsy and the histological findings did not support a diagnosis of recent trauma. Review of the literature describing birth injuries made the diagnosis of healing, residual birth trauma more convincing in this case.
Bryan C Patonay; William R Oliver
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Publication Detail:
Type:  Journal Article     Date:  2010-04-08
Journal Detail:
Title:  Journal of forensic sciences     Volume:  55     ISSN:  1556-4029     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1123-5     Citation Subset:  IM    
Pitt County Memorial Hospital, Pathology and Laboratory Medicine, 2100 Statonsburg Road, PO Box 6028, Greenville, NC 27835, USA.
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