Intimal Tears of the Right Atrium of the Heart Due to Blunt Force Injuries to the Abdomen

Cumberland, Gary D.; Riddick, LeRoy; McConnell, Charles F.

doi:10.1097/00000433-199106000-00003

Cited by 22 publications

(7 citation statements)

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“…However, some have occurred with very localized bicycle handlebar or barbell end impacts. Two subjects had cardiac perforations due to 2.5 m and one story falls .Three of the 6 children with traumatic atrial intimal tears Cumberland reported resulted from blunt assaults . Atrial or great vessel tears also result from high inertia events due to discongugate motion of anchored and movable tissues .…”

Section: Discussionmentioning

confidence: 99%

“…There have been few reports of cardiac injuries due to child abuse . Previously reported abusive cardiac injuries include commotio cordis , tears of the great vessels or atria , traumatic septal defects , atrial intimal tears, intra‐cardiac thrombi , elevated cardiac enzymes , penetrating trauma , contusions and aneurysms , subsequent perforations through previously damaged myocardium and hemopericardium . Cohle reported the one case of left ventricular perforation and 5 atrial injuries due to abusive blunt impact .…”

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confidence: 99%

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Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Yarid

Brown

Boos

et al. 2018

Journal of Forensic Sciences

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Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left ventricular rupture due to child abuse has been reported. We report a child who sustained a fatal left ventricular apical rupture. It appeared to have resulted from hydrostatic forces resulting from abusive blunt thoracic injury. That he was being abused was previously missed when he was presented to the emergency department with facial pyoderma. It was not noted that he also had lip and oral mucosal injury, sites not affected by staph toxins. As a result, his underlying, abusive and secondarily infected, facial flow type scald burn was not appreciated. Within a week thereafter his fatal injury occurred, accompanied by extensive and obvious associated abusive injuries. Postmortem high-detail whole body computed tomography scanning aided the autopsy. Although rare, ventricular rupture from abusive blunt thoracic injury can occur.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Yarid

Brown

Boos

et al. 2018

Journal of Forensic Sciences

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“…In our present case, most of the findings are more in favor of blunt thoracoabdominal trauma. Various literature search guides us that the following cause could be attributed to the death of this child, commotio cordis (8) , right atrium rupture (9) , left ventricular rupture (10) , traumatic ventricular septal defect (11) , traumainduced intra-cardiac thrombus (12) and trauma-induced transection of abdominal aorta or spinal injuries (13) .…”

Section: Discussionmentioning

confidence: 99%

“…When the hydrostatic force exceeds the stretchability of right atrium, it results in rupture. However, liver laceration can occur either from a blow over the chest or abdominal (9) . Cardiopulmonary resuscitation (CPR) (14) could be a valid reason for bruises over the sternal area.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Ventricle Laceration in a Battered Child: A Case Report

2020

MLU

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Cardiac laceration in child abuse cases is uncommon. Very few case studies are available illustrating the left ventricular rupture following blunt chest injuries. This article presents a case of sudden death of a two and a half year-old female child brought with history of fall on level ground while playing. The autopsy revealed multiple types of injuries over the whole body with duration varying from less than a day to more than 6 months old. Left ventricular rupture and liver laceration were the primary injuries contributing to death. Child abuse cases should never be examined with a preconception of finding the classical features of intracranial hematomas.

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“…Lacerations, contusions, and rupture of the stomach, liver, spleen, adrenal gland, kidney, bladder, colon, esophagus, and pharynx have been described ( Fig 34) (188,189,206 -210). In the thorax, lung contusion, pleural effusion, cardiac laceration, and fatal commotio cordis have also been described (11,(211)(212)(213)(214). Any injury pattern may occur in child abuse, although none in the viscera is as specific for abusive injury as is the CML or posterior rib fracture in the skeleton.…”

Section: Other Visceral Injuriesmentioning

confidence: 99%

From the Archives of the AFIP

et al. 2003

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In the United States, roughly one of every 100 children is subjected to some form of neglect or abuse; inflicted injury is responsible for approximately 1,200 deaths per year. Child physical abuse may manifest as virtually any injury pattern known to medicine. Some of the injuries observed in battered children are relatively unique to this population (especially when observed in infants) and therefore are highly suggestive of nonaccidental, or inflicted, injury. Worrisome injuries include rib fracture, metaphyseal fracture, interhemispheric extraaxial hemorrhage, shear-type brain injury, vertebral compression fracture, and small bowel hematoma and laceration. As noted, however, virtually any injury may be inflicted; therefore, careful consideration of the nature of the injury, the developmental capabilities of the child, and the given history are crucial to determine the likelihood that an injury was inflicted. The majority of these injuries are readily detectable at imaging, and radiologic examination forms the mainstay of evaluation of child physical abuse. Detection of metaphyseal fracture (regarded as the most specific radiographically detectable injury in abuse) depends on high-quality, small field-of-view radiographs. The injury manifests radiographically as a lucent area within the subphyseal metaphysis, extending completely or partially across the metaphysis, roughly perpendicular to the long axis of the bone. Acute rib fractures (which in infants are strongly correlated with abuse) appear as linear lucent areas. They may be difficult to discern when acute; thus, follow-up radiography increases detection of these fractures. For skull injuries, radiography is best for detecting fractures, but computed tomography and magnetic resonance imaging best depict intracranial injury.

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Intimal Tears of the Right Atrium of the Heart Due to Blunt Force Injuries to the Abdomen

Cited by 22 publications

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Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Cardiac Ventricular Laceration Due to Child Abuse: Abusive Ventricular Laceration

Cardiac Ventricle Laceration in a Battered Child: A Case Report

From the Archives of the AFIP

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