• Pediatric emergency care · Jun 1991

    Case Reports

    Lung injury resulting from a nonaccidental crush injury to the chest.

    • J McEniery, R Hanson, W Grigor, and A Horowitz.
    • Children's Hospital, Camperdown, New South Wales, Australia.
    • Pediatr Emerg Care. 1991 Jun 1; 7 (3): 166-8.

    AbstractA six-week-old infant presented with rib trauma and a lung contusion from a nonaccidental compressive chest injury. He developed an illness consistent with diffuse alveolar damage, which worsened over 26 hours. This was complicated by a pneumomediastinum, and the patient recovered with conservative management. The value of isotope bone scanning in addition to x-rays is discussed. Nonaccidental injury should be considered in the differential diagnosis of a pulmonary contusion.

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