Esophageal perforation with mediastinal abscess in child abuse

Abstract
A case of mediastinitis and mediastinal abscess due to cervical esophageal perforation in a 9 1/2 month old girl who was a victim of child abuse and possible sexual assault is reported. Injury to the hypopharynx or esophagus with child abuse as a possible etiology should be considered when an infant or young child presents with unexplained erythematous neck swelling, subcutaneous emphysema, pneumomediastinum and/or wide mediastinum.

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