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March 7, 1966

Fatal Blunt Injury to the Omentum

JAMA. 1966;195(10):876. doi:10.1001/jama.1966.03100100128049

To the Editor:—  This report deals with an injury to the upper abdomen of a 6-year-old boy which resulted in disruption of the omentum, hemoperitoneum, and death. Fatal hemoperitoneum secondary to omental tear alone does not appear to have been described.

Report of a Case:—  A 6 1/2-year-old boy was playing with five other children around a 1/2-ton, custom-built, two-wheel utility trailer of enclosed metal body type, the tongue of which rested on the ground (Fig 1). Play consisted of climbing on top of, and crawling under the vehicle. While four children with an estimated combined weight of 140 lb climbed to the rear of the top of the trailer, the subject of this report, weighing about 45 lb, was pulling himself under it on his back by grasping the rear bumper. The trailer toppled backward and pinned him to the ground, the bumper pressing across his abdomen. A 7-year-old

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