Delayed Presentation of Jejuno-Jejunal Fistula with Stricture after Physical Child Abuse

Adil Z. Solaiman, Afif N. Kulaylat, Mary Catherine Santos, Dorothy Rocourt, Sosamma Methratta, Karmaine Millington, Chandran Alexander

Research output: Contribution to journalArticle

Abstract

Small intestinal injury is seldom described in the context of child abuse. Signs and symptoms are subtle, often leading to delays in diagnosis. We describe a 3-year-old boy initially admitted with severe blunt abdominal trauma from physical child abuse. He was successfully managed nonoperatively. The child was then hospitalized several times for nonspecific abdominal symptoms until diagnostic laparoscopy discovered a jejunal stricture with a proximal jejuno-jejunal fistula. Symptoms fully resolved after resection. Delayed presentation of small intestinal injury should remain on the differential diagnosis in the evaluation of persistent abdominal symptoms in a child with a prior history of physical abuse, even if imaging studies do not reveal specific abnormalities.

Original languageEnglish (US)
Pages (from-to)462-464
Number of pages3
JournalPediatric Emergency Care
Volume32
Issue number7
DOIs
StatePublished - Jul 1 2016

Fingerprint

Child Abuse
Fistula
Pathologic Constriction
Wounds and Injuries
Laparoscopy
Signs and Symptoms
Differential Diagnosis
Physical Abuse

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

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Delayed Presentation of Jejuno-Jejunal Fistula with Stricture after Physical Child Abuse. / Solaiman, Adil Z.; Kulaylat, Afif N.; Santos, Mary Catherine; Rocourt, Dorothy; Methratta, Sosamma; Millington, Karmaine; Alexander, Chandran.

In: Pediatric Emergency Care, Vol. 32, No. 7, 01.07.2016, p. 462-464.

Research output: Contribution to journalArticle

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