@article{ref1,
title="Visceral injury in battered children: a changing perspective",
journal="Radiology",
year="1989",
author="Sivit, C. J. and Taylor, G. A. and Eichelberger, Martin R.",
volume="173",
number="3",
pages="659-661",
abstract="Abdominal or lower thoracic visceral injury was present in 14 of 69 children (20.3%) examined after suspected physical abuse. Of these, 10 were hemodynamically stable and examined with abdominal computed tomography (CT); four were hemodynamically unstable, taken directly to surgery, or died in the emergency room. In the group studied with CT, injuries to solid abdominal organs were most common (hepatic n = 5., splenic n = 3., renal n = 1., adrenal n = 1., and pancreatic n = 1.) followed by pulmonary contusion or laceration (n = 2) and pneumoperitoneum due to duodenal transection (n = 1). No additional radiographic abnormalities were noted in five of these children. In the group not studied with CT, injuries to the intestinal tract and mesentery were most common (n = 3), followed by solid organ injury (hepatic n = 1. and renal n = 1.) and pulmonary contusion (n = 1). Intestinal, mesenteric, and pancreatic injuries were associated with a poor outcome. CT should be the examination of choice in abused children with suspected intraabdominal injury.<p /><p>Language: en</p>",
language="en",
issn="0033-8419",
doi="",
url="http://dx.doi.org/"
}