Abstract
For 33 months a prospective study was made of girls attending a paediatric accident and emergency department with genital injury. The clinical features were related to age and the stated mechanism of the injury. Indicators for non-accidental injury were sought. A clear history was given in 82 of 87 girls to account for the findings on examination. Straddle injuries occurred in 74, accidental penetrating injuries in 5, stretch injuries in 3, and 2 had self-inflicted scratch injuries. Sexual abuse was alleged by 3 girls. Surgery was required in 6. Accidental injuries to the genital area are common and should have a clear history, with findings on examination consistent with that history. An absent or vague history or injury to the hymen, fourchette, or perineum must raise suspicions of child sexual abuse.
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References
Bamford F, Roberts R (1989) ABC of child abuse, child abuse-II. BMJ 299: 377–382
Emans SJ, Woods ER, Flagg NT, Freeman A (1987) Genital findings in sexually abused, symptomatic and asymptomatic girls. Pediatrics 79: 778–785
McCann J, Voris J, Simon M (1988) Labial adhesions and posterior fourchette injuries in child sexual abuse. Am J Dis Child 142: 659–663
McCauley J, Gorman Richard L, Guzinski G (1986) Toluidine blue in the detection of perineal lacerations in pediatric and adolescent sexual abuse victims. Pediatrics 78: 1039–1043
Muram D (1986) Genital tract injuries in the prepubertal child. Pediatr Ann 15: 616–620
West R, Davies A, Fenton T (1989) Accidental vulval injuries in childhood. BMJ 298: 1002–1003
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Correspondence to: A. M. Pierce
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Pierce, A.M., Robson, W.J. Genital injury in girls — accidental or not?. Pediatr Surg Int 8, 239–243 (1993). https://doi.org/10.1007/BF00182527
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DOI: https://doi.org/10.1007/BF00182527