Genital trauma and vaginal bleeding: is it a lapse of time issue? A case report of a prepubertal girl and review of the literature
| Autor: | Anna Aprile, Melissa Rosa-Rizzotto, C. Ranzato, Mariarosa Giolito, Marianna Russo, Paola Facchin |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Time Factors Injury timing Poison control Wound healing Physical examination Child sexual abuse Vaginal bleeding Lacerations Vulva Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Injury prevention medicine Humans Physical Examination Vaginal Hemorrhage 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry General surgery Child Abuse Sexual Surgery Sexual abuse Child Preschool Accidental Vagina Female Uterine Hemorrhage medicine.symptom business |
| Popis: | Child victims of sexual abuse may present with physical findings whose interpretation requires the most exhaustive evaluation and an accurate collection of a detailed history. Genital bleeding is usually considered as an acute sign, related to a trauma that occurred shortly before its appearance. We report a case of a 34-month-old child who was referred to the emergency room with a significant vaginal hemorrhage, originating from a wide laceration of the posterior fourchette, and a negative history for accidental trauma. The characteristics of the lesion, compared to the temporal evolution of the healing process, and the witnesses' depositions led us to assume that the time elapsed between the abusive event and the physical examination was longer in respect to what had appeared at the first sight. The judicial reconstruction of the events confirmed our assumption, allowing the charge of the right abuse perpetrator. As the literature regarding this eventuality is very poor, we report this case to stress the importance for physicians to consider that an active bleeding may be the manifestation of a trauma that occurred very long before. |
| Databáze: | OpenAIRE |
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