Can Birth Trauma Be Confused for Abuse?

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Abstract:

Abstract: 

An unexpected infant death is usually investigated with a complete autopsy. If evidence of prior trauma is found at autopsy in these cases, suspicion is raised for nonaccidental trauma. In a young infant, the residua of trauma received during birth has the potential to be incorrectly interpreted as nonaccidental trauma. We report a the findings of a 4 1/2-month-old-infant that died unexpectedly with a healing linear skull fracture and a circular lesion over the calvarium found at autopsy. Though this lesion was concerning, the remainder of the autopsy and the histological findings did not support a diagnosis of recent trauma. Review of the literature describing birth injuries made the diagnosis of healing, residual birth trauma more convincing in this case.

Keywords: autopsy; birth injuries; child abuse; forensic pathology; forensic science; histology; sudden infant death

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1556-4029.2010.01393.x

Affiliations: Pitt County Memorial Hospital, Pathology and Laboratory Medicine, 2100 Statonsburg Road, PO Box 6028, Greenville, NC 27835.

Publication date: July 1, 2010

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