PEDIATRICS Vol. 85 No. 5 May 1990, pp. 892
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Abdominal Trauma - Child Abuse

MARCIA DWORKIND MD1, GEORGE MCGOWAN MD1, and JEFFREY HYAMS MD1

1 Departments of Pediatrics and Pediatric Surgery, Hartford Hospital, Hartford, University of Connecticut Health Center, Farmington, CT

To the Editor.—

The development of severe abdominal pain and vomiting in an infant is frequently an ominous event with a large differential diagnosis including midgut volvulus, intussusception, and incarcerated hernia. Recently we cared for an infant who developed an acute abdomen as a result of child abuse which was not appreciated until after laparotomy.

A 3-month-old girl was transferred to our hospital with a history of an acute onset of vomiting, diarrhea, fever, and lethargy.