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Case Report  |   August 2000
Small bowel perforation: an unusual presentation for child abuse
Article Information
Gastroenterology / Pediatrics
Case Report   |   August 2000
Small bowel perforation: an unusual presentation for child abuse
The Journal of the American Osteopathic Association, August 2000, Vol. 100, 496-497. doi:10.7556/jaoa.2000.100.8.496
The Journal of the American Osteopathic Association, August 2000, Vol. 100, 496-497. doi:10.7556/jaoa.2000.100.8.496
Abstract

Hollow viscus perforation due to inflicted blunt abdominal injury is uncommon. Diagnosis is frequently delayed because of inaccurate or absent history, nonspecific or delayed physical findings or both, and laboratory tests with low sensitivity. Computed tomographic scanning of the abdomen is the best diagnostic test available. A high index of suspicion is essential to diagnose visceral perforation early, as significant morbidity and mortality results from diagnostic delay.