Clinical Perspective

The injured snowman

N Mahomed, M Goodier, M Modi, S Andronikou
South African Journal of Radiology | Vol 15, No 1 | a344 | DOI: https://doi.org/10.4102/sajr.v15i1.344 | © 2011 N Mahomed, M Goodier, M Modi, S Andronikou | This work is licensed under CC Attribution 4.0
Submitted: 24 February 2011 | Published: 21 February 2011

About the author(s)

N Mahomed, University of the Witwatersrand, South Africa
M Goodier, University of the Witwatersrand, South Africa
M Modi, University of the Witwatersrand, South Africa
S Andronikou, University of the Witwatersrand, South Africa

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Abstract

Total anomalous pulmonary venous return (TAPVR) is a rare congenital cardiac defect that may present with cyanosis, cardiac failure and failure to thrive in infancy. TAPVR type 1 has a typical radiographic appearance of the heart termed the snowman. We present a case of an infant with TAPVR type 1 with injuries in keeping with non-accidental injury (NAI) to highlight that children with chronic diseases are at greater risk of this kind of injury and that radiographic evaluation of the chest in cardiac disease plays a role beyond demonstrating the heart and vasculature of the chest.

Keywords

Child abuse; Non-accidental injury; Total anomalous pulmonary venous return

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