Physical Findings Mimicking Sexual Abuse in a Drowning Patient Who Was Treated in the Intensive Care Unit: A Report on a Fatal Case

Specific or nonspecific findings of sexual abuse may be observed upon examination of a child. Examination of the genital area is extremely important for the identification of child sexual abuse (CSA). However, medical conditions detected in the child's genital area may be misinterpreted as sign...

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Bibliographic Details
Published inThe American journal of forensic medicine and pathology Vol. 39; no. 4; p. 351
Main Authors Sener, Mustafa Talip, Vural, Talip, Sahpaz, Ahmet
Format Journal Article
LanguageEnglish
Published United States 01.12.2018
Subjects
Anal Canal - injuries
Anal Canal - pathology
Child Abuse, Sexual - diagnosis
Child, Preschool
Diagnosis, Differential
Dilatation, Pathologic - pathology
Drowning - diagnosis
Ecchymosis - pathology
Fatal Outcome
Female
Humans
Intensive Care Units
Lacerations - pathology
Lung - pathology
Postmortem Changes
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Summary:Specific or nonspecific findings of sexual abuse may be observed upon examination of a child. Examination of the genital area is extremely important for the identification of child sexual abuse (CSA). However, medical conditions detected in the child's genital area may be misinterpreted as signs of CSA. Herein, we present a case of a child with suspected CSA who was treated in the intensive care unit. The following incidental findings were obtained upon anal examination: dilatation, ecchymosis, laceration, and hemorrhage. This report aims to discuss the anal examination findings that can mimic CSA.
ISSN:1533-404X
DOI:10.1097/PAF.0000000000000416