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[Total duodenal section. A reliable indicator of severe physical abuse].
[child syndrome]
Rupture
of
the
hollow
viscera
due
to
battered
child
syndrome
is
an
unusual
clinical
finding
and
it
is
even
less
likely
when
we
encounter
total
duodenum
section
.
The
literature
on
child
abuse
does
not
include
visceral
lesions
as
part
of
the
spectrum
.
The
aim
of
this
study
was
to
analize
if
complete
duodenal
section
is
a
reliable
indicator
of
severe
physical
abuse
.
Data
were
statistically
analyzed
using
chi
-square
tests
,
likelihood
ratios
and
the
Cochran-
Mantel-
Haentzel
test
.
Four
children
were
admitted
with
a
battered
child
syndrome
diagnosis
.
All
participants
were
surgically
treated
and
the
finding
was
total
section
of
the
duodenum
.
The
postoperative
course
was
normal
.
Statistical
tests
were
p
<
0
.
0001
and
the
likelihood
ratio
18
.
7
Duodenal
rupture
is
a
statistically
reliable
indicator
of
a
severe
form
of
physical
abuse
in
children
.
