A two-year-old girl died from blunt force injury to the abdomen, sustaining internal injuries including pancreatic rupture, jejunal rupture, and liver trauma with significant intra-abdominal hemorrhage. Evidence indicated the fatal injuries occurred on the evening/night of 12 May or early morning of 13 May 2005 at the boyfriend's flat. The child was taken to a medical centre around 3:30pm on 13 May already in cardiac arrest. Expert evidence established that urgent surgical intervention, if provided within hours of injury, could have saved the child's life. The coroner found the death resulted from actions and inactions of two adult caregivers present that night. Clinical lesson: severe abdominal trauma in young children presenting with lethargy, pallor, and apparent illness requires immediate emergency assessment and transfer, not expectant observation at home or in public places.
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