| Resolving duodenal-jejunal hematoma in abused children. | |
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MedLine Citation:
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PMID: 3488562 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute intramural duodenal-jejunal hematoma is a classical finding in the battered child syndrome. The radiographic findings of a large obstructing intramural mass associated with the "coiled-spring" appearance generally raise the question of child abuse in any patient without appropriate accidental injury. In this study the radiologic features of resolving duodenal-jejunal hematoma are detailed in five abused children. The results show that the coiled-spring appearance is an acute phenomenon associated with a well-localized intramural hematoma. In the resolving phase, localized mural masses in the lateral aspect of the descending duodenum and fold thickening are indications of prior intramural hemorrhage. When these radiologic features are encountered in a child with nonspecific abdominal complaints, child abuse should be suspected. Furthermore, in patients with suspected occult trauma, resolution of abdominal symptoms should not deter the radiologist from performing an upper gastrointestinal tract series, which may provide evidence of child abuse. |
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Authors:
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P K Kleinman; P W Brill; P Winchester |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Radiology Volume: 160 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1986 Sep |
Date Detail:
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Created Date: 1986-09-18 Completed Date: 1986-09-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 747-50 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child Abuse* Child, Preschool Duodenal Diseases / radiography*, therapy Follow-Up Studies Gastrointestinal Hemorrhage / radiography*, therapy Hematoma / radiography*, therapy Humans Infant Jejunal Diseases / radiography*, therapy Male Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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