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Journal of Trauma and Injury 2012;25(4):283-286.
The Reality of Child Abuse in Korea
Kyuwhan Jung, Ho Seong Han, Do Joong Park, Seok Chan Eun
1Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Korea. hanhs@snubh.org
2Department of Plastic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Korea.
한국 아동학대의 현실
정규환∙한호성∙박도중∙은석찬1
서울대학교 의과대학 분당서울대학교병원 외과,
1서울대학교 의과대학 분당서울대학교병원 성형외과,
Received: 26 November 2012   • Revised: 27 November 2012   • Accepted: 30 November 2012
Abstract
A trauma surgeon is always concerned about child abuse when he or she meets injured children. Abused children will be neglected if trauma surgeons only concentrate on the injured site or physical dynamics. Lately, violence on children has increased in Korea. Therefore, in this study, we considered child abuse through a review of the literatures. An eleven-year-old boy visited the emergency room vomiting with abdominal distension. He had been kicked in the abdomen by his step-mother 10 days earlier. The computed tomography revealed a transected pancreas tail and neck with a large pesudocyst (Fig. 1) and laboratory findings showed an elevated amylase level of more than 6,500 IU/L. Because he complained of severe pain with rebound tenderness on the whole abdomen, he underwent an emergent laparotomy, a distal pancreatectomy of the tail portion with an anti-leakage procedure on the cut surface of the pancreas. However, he underwent a distal pancreatectomy again on the neck portion of the pancreas because of a continuing pseudocyst with severe pain that could not be controlled with conservative managements. After that, his symptoms were improved and he returned to his daily life.
Key Words: Child abuse; Trauma
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