![]() Periorbital ecchymosis is a useful clinic sign that should alert the clinician to assess for skull fractures, intracranial haemorrhage, and cranial nerve injury. No meningitis, cerebral abscess, encephalitis or deaths were observed. Five patients were discharged to a rehabilitation centre. ![]() Surgical intervention was required in 8 patients. The most common clinical feature associated with PE was cranial nerve injury, observed in 10 patients. The other classic signs of basal skull fracture (Battle's sign, hemotympanum, cerebrospinal fluid otorrhea, cerebrospinal fluid rhinorrhea) were observed in 3, 7, 1, and 3 patients with PE, respectively. PE was associated with a variety of injuries including: 15 basal skull fractures, 9 soft tissue injuries without fractures, 8 convexity fractures, and 3 facial fractures. The mean age in our series was 39 years (range 19-88 years), 31 patients were male. Data were obtained using a standardised data acquisition template.Īll patients presented to the emergency department with PE. The authors retrospectively reviewed 36 consecutive cases of patients presenting to the emergency department with PE over a three-year period at St. Our objective is to present the first patient series describing the clinical features associated with traumatically induced PE. This clinical feature is most commonly associated with basal skull fractures. The victim is expected to face her alleged rapist in court Wednesday.Ĭontact Sarah Glover at 61, follow Twitter.Periorbital ecchymosis (PE) is caused by blood tracking along tissue plains into periorbital tissues, causing discoloration in the upper and lower eyelids. Her attorney has argued that prosecutors have the wrong person, despite the introduction of DNA evidence on the T-shirt the child was wearing when she was found.Įarlier in the day, the victim's brother and sister took the stand to recount the day of the abduction. Regusters has maintained her innocence in the case. “Children shouldn’t have to have colostomies. She said she can’t think of more than two handfuls of cases where the trauma and injury to the anus had been as severe as what the child went through in this case. That procedure was reversed in May, four months later, with another surgery, the doctor testified.Ĭhristian said she has conducted “thousands and thousands” of exams on children who had been sexually abused. Christian said the internal exam helped them determine the need for a temporary colostomy bag to give her body time to heal. The girl was taken to the hospital's Child Abuse, Referral and Evaluation Clinic where she was surgically examined under anesthesia. Some of the drugs caused illness and vomiting, which the child endured for days after treatment in the ER.Ĭhristian testified that the child’s mother called pediatricians days after leaving the hospital because the child remained in immense pain, had difficulty walking and was still not able to go to the bathroom. ![]() ![]() The girl was also given anti-retrovirals to try and protect her body from any exposure to sexually transmitted diseases like HIV. "I can’t imagine it being any more severe," said Christian, who also testified about injuries to the girl's vagina.Īfter being found partially clothed in an Upper Darby playground, the girl was transported to CHOP's emergency room where she was examined and forensic evidence collected. The doctor said the object used in the rape, which could have been a wooden broom handle, prevented the girl from controlling her own bowels. Market Street Getting Red Bus-Only Lane in Center City Cindy Christian, a Children's Hospital of Philadelphia (CHOP) pediatrician who specializes in child sex abuse, detailed the damage done by the violent assault. Police officers, jurors and media allowed to stay for the display were visibly jarred as Dr. The woman, who allegedly committed the depraved acts on the girl over a 19 hour long period last January, stands as the only person charged in the case.Īs the photos were flashed on a large projection screen in Criminal Justice Courtroom 1101, Regusters also diverted her glance - looking down as her cheek rested in her left hand. The images were shown Tuesday as part of the Commonwealth of Pennsylvania's case against 21-year-old Christina Regusters. The evidence was so disturbing that Common Pleas Judge Jeffrey Minehart asked the public to leave the room. "The photos are shocking and disturbing." "Gruesome," said attorney Tom Kline, who is handling the civil case on behalf of the now 7-year-old victim. She couldn't bear to look at the injuries sustained by a 5-year-old girl abducted last year from her elementary school and raped with a sharp object. A female juror looked to the ceiling, brought a tissue to her face and wiped tears from her eyes.
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