Iliac Artery Injury With Foreign Body: A Unique Case Of Child Abuse

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  • Aysun Baransel Isır Gaziantep University Medical School Department of Forensic Medicine
  • Mehmet Tokdemir Fırat University Medical School Department of Forensic Medicine
  • Ergün Parmaksız Fırat University Medical School Department of Pediatric Surgery
  • Ali Rahman Fırat University Medical School Department of Heart, Vessel Surgery Medicine
  • Ahmet Kazez Fırat University Medical School Department of Pediatric Surgery



Child abuse, foreign body, iliac artery injury, phalanx amputation


The aim of this study is to discuss physical abuse part of a case by presenting a rarely seen injury which is vaginal bleeding 8-month-old girl with an unknown story. At further analyze and operation, she was operated on for a 4.2 cm long foreign body which caused both perforation in the uterus and injury to the right iliac artery. Four days after the operation, she had sudden loss of vision, intracranial bleeding and generalized convulsion. Three months later, it was encountered that she had an amputated distal phalanx in the 5th finger on the right hand. Social and medico-legal management of physical abuse is suboptimal in Turkey. In this way, an emphasis is made on the necessity of subject keeping in mind when injuries without any sufficient reliable data are encountered as the physical abuse.


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Kempe CH, Silverman FN, Steele BF, Droegemuller W, Silver HK. The battered child syndrome. JAMA. 1984;251:3288-3294.

Belsky J. Child Maltreatment: An ecological integration. Am Psychol. 1980;35:320-335.

Cicchetti D, Carlson VK. Child Maltreatment. Theory and research on the causes and consequences of child abuse and neglect. Cambridge. 1989.

Kaplan HI, Sadock BJ. Comprehensive Textbook of Psychiatry. Baltimore: Williams and Wilkins. 1999.

Leonardi DF, Vedovato JW, Werlang PM, Torres OM. Child burn: accident, neglect or abuse. A case report. Burns 1999;25(1):69-71.

Ledbetter DJ, Hatch EI, Feldman KW, Ligner CL, Tapper D. Diagnostic and surgical implications of child abuse. Arch Surg. 1988;123:1101-1105.

Ellerstein NS. Cutaneous manifestations of child abuse and neglect. Am J Dis Child. 1979;133:906-909.

Meservy CJ, Towbin R, McLauren RL, Myers PA, Ball W. Radiographic characteristics of skull fractures resulting from child abuse. Am J Radiol. 1987;149:173-175.

Hiss J, Kahana T. The medicolegal implications of bilateral cranial fractures in infants. J Trauma. 1995;38:32-34.

Acik Y, Deveci SE, Yildirim AM, Okur Mİ. Bir Fiziksel İstismar Olgusu. Cocuk Forumu. 1999;2:18-22.

Murry SK, Baker AW, Lewin L. Screening Families with Young Children for Child Maltreatment Potantial. Pediatr Nurs. 2000;26(1):47-54.

Guler N, Uzun S, Boztas Z, Aydogan S. The Behaviours of Mothers who Perform Physical or Emotional Abuse/Neglect of Their Children. Cukurova Universitesi Tip Fakultesi Dergisi. 2002;24(3):128-134.

Cowen PS. Child neglect; Injuries of Omission. Pediat Nurs. 1999;25(4):401-418.

Rothamel T, Burger D, Debertin AS, Kleemann WJ. Vaginorectal impalement injury in a 2 year old child caused by sexual abuse or an accident? Forensic Sci Int. 2001;119(3):330-333.

Ozkara E, Karatosun V, Gunal I, Oral R. Trans-metatarsal amputation as a complication of child sexual abuse. J Clin Foren Med. 2004;11:129-132.

Bar-on ME, Zanga JR. Child Abuse: a model for the use of structured clinical forms. Pediatrics. 1996;98:429-433.

Billmire ME, Myers PA. Serious Head Injury in Infants: Accident or Abuse? Pediatrics. 1985;75:340-342.

Çoloğlu S, Kolusayın O. Dövülmüş Coçuk Sendromu. Adli Tıp Dergisi. 1985;1(2):179-185.

Pelton L. Child abuse and neglect the myth of classlessness. Am J Orthopsychiatry. 1978;48:608-617.




How to Cite

Baransel Isır, A., Tokdemir, M., Parmaksız, E., Rahman, A., & Kazez, A. (2008). Iliac Artery Injury With Foreign Body: A Unique Case Of Child Abuse. European Journal of Therapeutics, 14(1), 18–22.



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