NON-ACCIDENTAL INJURY OF CHILDHOOD (BATTERED CHILD SYNDROME): REPORT OF A CASE

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Cagl

Kaza-dl§l Travrnalan

(Hlrpalanml~

<;ocuk Sendromu

)

:

Bir

OIgu llildirisi

$EBNEM KORUR FtNCANCI, BILGE KIRANGIL Adalet Bakanhgl, Adli TIp Kurumu, Istanbul, Tiirkiye

NON-ACCIDENTAL INJURY OF CHILDHOOD (BATTERED CHILD SYNDROME): REPORT OF A CASE

Summary

Non-accidental injury of childhood is a term used to define a clinical condition in children usually under 3 years of age, who have received violence or injury on one or more occasions, including minimal as well as severe or fatal trauma; and/or deprivation of nutrition, care and affection, by the hand of a parent, or guardian. Peatures about parents, children, instance and clinical findings are mostly characteristic.

The case we examined was a girl of 2, who had received injury on multiple occasions by the hand of hcr parent, working abroad, and who died due to stomach rupture from battering. It is cons idercd for its finally fcatun" which matched those reported in the literature, and the infrequency of such cases in our country. Literature on non-accidental injury of childhood is studied and discussed.

Key words: Non-accidental injury - Children - Battered child syndrome

()zet

3 yajmdan kiic;:iik c;:ocuklarm ebeveynleri veya bal(lcilan tarafmdan bir kez veya yinelenen jekilde minimal duzeyden oldLirUcii nitelikte olan lczyonlara kadar degi§en travmalara maruz blrakLimaSl ya da bcslcnme, bakun gibi temel gcrcksinim1crinden yoksun kilmmaSl durumuna, "c;:ocukluk c;:agl kaza-dl§l travmalan"(non-accidental injury of childhood) adl verilmektedir. Aile, c;:ocuk, olay ve c;:ocuktaki lczyonlan ilibariyle olgularm birc;:ogunda lipik ozelliklere rastlanmaktadlr.

Incclcdigimiz olguda yurt dl§mda yajlyan bir i§yi ailesinin klZl olan iki ya§mdaki bir yocugun ebcveyni tarafmdan yinc1enen travmalara maruz blraklldlgl, son kez kendisine yonclik mliessir [iiI sonueu midc yntllmasl vc komplikasyonlanndan 6ldiigli saptanml§tlf. Litaratlirde bclirlcnen ozelliklere para1cllik gostermesi nedeniylc ilginc;: bulunan oJgunun yaymlanmasl uygun bulunmuj vc bu nedcnle "c;:ocukluk <;agl kaza-dl§l travmalan" ilc ilgili litaratiir ince1cnerek tartl§wnt§llr.

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11k kez 1946 yllm

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Caffey

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kronik subdural

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kemiklerde multipl kmklar gordilgilnil bildirmi§tir. "American Academy o

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Pediatrics"

Adli TIp Derg. 6,225- 229 (1990)

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İ TIP DERGİSİ

Journal of Forensic Medicine

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memekte ve gozden kar;:

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bedensel veya ru

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gellemektir.

KAYNAKLAR

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2 Gordon, 1., Shapiro, H. A., Berson, S.D. (1988) in Forensic Medicine: A Guide 10 Principles, 3rd edn., pp.389-395, Churchill Livingstone, New York.

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naklen).

4 Cameron, I.M. (1976) in Gradwohl's Legal Medicine, 3rd edn. (Camps, F.E., ed.) pp. 409-418, John Wright and Sons Ltd., B risto!'

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6 Macaulay, R.A.A., Mason, J.K. (1978) in The Pathology of Violent Injury (Mason, J.K.ed.) pp. 218-235, Edward Arnold, London.

7 Simpson, K., Knight, B.(1985) in Forensic Medicine, 9th edn., pp.l60-175, English Language Book Society, London.

8 Duhaime, A.C., Gennarelli, T.A., Thibault, L.E., Bruce, D.E., Marguiles, S.S., Wiser, R. (1987) I.

Neurosurg, 66,409-415.

9 Gil, D.G. (1969) Paediatrics, 44, 857 - 864. 10 Christoffel, K.K. (1981) J. Chron. Dis., 34, 57-64.

11 Harries, K.D. (1974) in The Geography of Crime and Justice, pp.17-37, McGraw-Hill Book Company, New York.

12 <;:61og1u, A.S., Kolusaym,

O.

Ayn bask! i~in : Dr. -5ebnem Komr Fincancl

Adli TIp Kurumu, 34246 Cerrahpa§a, lstanbul Tiitkiye