(Received 20 May 1982; accepted 24 September 1982)
Published Online: April
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A case of perforation of the stomach following blunt abdominal trauma is described in a two-year-old boy. The abdominal trauma was the result of a blow to the abdomen by the stepfather. The child had ingested a large meal in the hour preceding the injury. The child died from peritonitis and shock 12 h following the injury. The literature on gastric perforation by blunt trauma is reviewed. Injuries to the stomach from nonpenetrating trauma are quite rare and are most often related to vehicular accidents. Gastric injury in a child presenting with a history of a minor home or play injury should arouse suspicion of more significant and perhaps intentional trauma.
Associate professor, St. Louis University School of Medicine, St. Louis, MO
Assistant medical examiner, Medical Examiner's Office, State Crime Laboratory, Little Rock, AR
Stock #: JFS11534J