Diagnostic Imaging of Non-Accidental Injury and Percutaneous Foreign Bodies: A Case Report from Zambia
This case report presents the role imaging played in the diagnosis and surgical removal of multiple percutaneous foreign bodies in a 5-year-old child
who presented with non-accidental injuries (NAI) to medical facilities in Zambia. Children are commonly referred for imaging with suspected
accidental foreign bodies, but percutaneous foreign bodies due to NAI are rare. NAI is caused due to child physical abuse and therefore, imaging plays a
major role in the diagnosis and provision of legal evidence. In this case report, conventional radiography (plain film) of askeletal survey was the first imaging requested. This was supplemented with a computed tomography (CT) scan of the thorax and abdomen.
Lastly, foreign bodies were removed under the guidance of the image intensifier. Although, the cases of NAI reported and presented in medical facilities in Zambia are rare, this caseshows that physical child abuse is practiced in ourcommunities. Thus, radiographers and radiologists should pay attention to such cases during imaging and reporting, respectively.
It is condition of publication in the journal that the authors assign copyright to the Medical Journal of Zambia. To this effect all accompanying letters must contain the following statement. The authors being the sole and legitimate holder of the copyright hereby transfer it to Medical Journal of Zambia.