Anal findings in children with and without probable anal penetration: A retrospective study of 1115 children referred for suspected sexual abuse (original) (raw)
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Understanding Medical Findings in Child Sexual Abuse: An Update For 2018
Academic Forensic Pathology, 2018
When child sexual abuse is suspected, it is important for medical professionals to understand normal as well as abnormal features of the external genital and anal tissues in children. Physicians and other healthcare professionals who rarely perform a detailed examination of these areas may mistakenly interpret normal findings, or findings caused by conditions unrelated to abuse, as signs of injury due to sexual abuse. For this reason, it is important for all medical professionals to have a basic understanding of the appearance of the genital and anal tissues in children. Examples of normal and abnormal genital and anal findings are provided via annotated images. This review presents a research-based summary of how medical findings in children should be interpreted with respect to possible sexual abuse. Resources for obtaining expert review of medical findings are described.
Open Medicine Journal, 2016
Background:The genitalia examination and collection of forensic evidence are essential components of the medical evaluation when sexual abuse is suspected. In addition to a complete history/interview, the medical visit for a suspected child sexual abuse victim usually includes a detailed examination of external genitalia and anus as well as, if indicated, the collection of forensic evidence. It is important that medical and nursing professionals are able to correctly identify normal genital and anal structures before they can identify abnormal physical findings in either the prepubertal or adolescent patient. Additionally, medical and nursing professionals are expected to accurately collect and preserve forensic evidence when possible.Methods:A topical review of literature that examines: 1) if physicians and nurse practitioners could identify basic anatomic structure of external genitalia, and 2) the timing and yield of forensic evidence collection kits.Results:Physicians vary in th...
Audit of Genito-Anal Injuries in male and femal sexual abuse cases - A retrospective study
Pakistan Journal of Surgery and Medicine, 2020
Background: Sexual assault is a global issue wherein timely examination of sexual assault victims by medico-legal officers and an understanding of the characteristics and factors influencing their injuries have a crucial impact on medico-legal evidence collection and its use in the court. Genital injury findings improve the level of justice for victims, but the lack of injury does not negate the possibility of sexual violence incurred on the victim. The following study describes in great detail the different factors associated with injury characteristics and the medico-legal importance of all these factors. Methodology: It was a retrospective descriptive study conducted at the Forensic Medicine Department of King Edward Medical University, Lahore, Pakistan. All the cases included that fulfill the predefined inclusion criteria were included. A record chart was designed, and six years’ data was recorded in it from the medical records of the medico-legal clinic. It was entered and edit...
External genital injuries in childhood: obey the rules and detect the unseen
International Surgery Journal
Background: This paper evaluates the patients with external genital organ injuries (EGOI) and the suitability of the Onen’s genital injury scoring (GIS) for the management of such patients.Methods: This is a cross-sectional study. Patients with the complaints of EGOI were retrospectively explored regarding to age, sex, trauma type, hospitalization time, classification of injury type, presence of additional pathologies and treatment methods. After the injury types are classified by using the Onen’s GIS, we investigated the sufficiency of this scoring method for our treatment modalities.Results: A total of 57 patients, 19 females and 38 males, were diagnosed as EGOI. These patients were classified with Grades (G) by using the Onen’s GIS (G1: 42, G2: 7, G3: 5, G4: 2, and G5: 1 patient.). The Grade 5 patient had a colostomy. The external anal sphincters of two patients were repaired to avoid incontinence in the future. The other patients received either medical or non-specific surgical ...