Duodenal rupture complicating childhood non-accidental injury.

Duodeno-jejunal flexure injury is well recognised in blunt abdominal trauma generally. It is usually caused by compression of the relatively fixed bowel against the spine producing a shearing force which tears the bowel.1 Non-accidental injury is a rare cause of duodeno-jejunal flexure injury in childhood, but serious complications can ensue if there is a delay in diagnosis, which unfortunately is common with this form of injury.