Biomedical subjects
Publications and source records attributed to N C Prendergast.
Handgun ammunition that contains multiple pellets (birdshot) comes in two forms. We describe here the autopsy and radiographic findings in three individuals who were fatally wounded with Glaser safety ammunition and contrast the findings to those reported in shot shell injuries.
There are few reports of adrenal injuries complicating inflicted pediatric trauma. All child-abuse cases at the New York City Medical Examiner's Office over a 7-year period were reviewed. Of these 121 homicides, 50 sustained severe injuries to the torso. Five infants (10.0%) had adrenal laceration, a marker of major blunt-force injury.
Placenta accreta percreta is an unusual cause of hemoperitoneum. Less than 50 such cases have been reported in the English-language literature over the past 100 years. A 22-year-old pregnant multigravida woman who had spontaneous uterine rupture with exsanguination caused by this entity is described. She had abdominal pain and cardiovascular collapse and died without a premortem diagnosis.
Few reports have documented pelvic fracture as a result of child abuse. We present a case with radiologic findings and pathologic correlation. Although documented patterns of osseous injury have been extensively described, a thorough skeletal evaluation must include a frontal view of the pelvis as well.
Pulmonary interstitial emphysema is a well-documented complication of positive-pressure ventilation. However, the occurrence of large sub-pleural air cysts is a less well-known, extreme manifestation of this entity. We present here an infant who developed this complication of pulmonary barotrauma during cardiopulmonary resuscitative efforts.
Descriptions of the nature of pediatric injury as reported by parents and caretakers is frequently tainted, even fraudulent. We present here such a case of trauma incurred in the presence of a parent which resulted in hepatoduodenal ligament laceration with associated pancreatic and duodenal injuries, the certain result of severe blunt force abdominal trauma. These findings were at variance with the father's description of the events leading up to the child's untimely demise.
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