PMC7250214_01
PMC7250214_02
A 4-year-old with forehead swelling, bruises, darkish discolouration around the lower part of the eyes (Panda eyes sign) (red arrows) and burns on the right shoulder (black arrow)
PAMJ-35-47-g001.jpg
PMC7250214_02_PAMJ-35-47-g001.jpg
f0001
At presentation, he was conscious with forehead swelling measuring about 8 cm x 8 cm, soft, fluctuant, tender (Figure 1) and darkish discolouration around the lower part of the eyes (Panda eyes sign). He also had swelling over the right clavicle, hard and tender with an area of healing scald burns injury (about 6 cm x 5 cm) lateral to it (Figure 1), multiple bruises at various stages of healing and 'rope marks' over the back and extremities (Figure 2).
"Rope" sign and scars on the back (black arrows)
PAMJ-35-47-g002.jpg
PMC7250214_02_PAMJ-35-47-g002.jpg
f0002
He also had swelling over the right clavicle, hard and tender with an area of healing scald burns injury (about 6 cm x 5 cm) lateral to it (Figure 1), multiple bruises at various stages of healing and 'rope marks' over the back and extremities (Figure 2).
Chest radiography showing right clavicular fracture (black arrow)
PAMJ-35-47-g003.jpg
PMC7250214_02_PAMJ-35-47-g003.jpg
f0003
The X-ray of the shoulder showed right clavicular fracture with callus formation (Figure 3).
A computerized tomography showing frontal scalp haematoma (white arrows)
PAMJ-35-47-g004.jpg
PMC7250214_02_PAMJ-35-47-g004.jpg
f0004
The computerised tomography scan of the cranium showed frontal scalp haematoma and normal intracranial findings (Figure 4).