Anal tear in a girl due to the penetration of a dog's penis. Unusual case report

Almada, Hugo Rodríguez; Maggi, Irene García; Rodríguez, M Sáez; Stewart, Joyce

doi:10.1016/j.jflm.2019.02.001

Cited by 1 publication

(2 citation statements)

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“…No child reporting the insertion of multiple objects manifested any anogenital injury, consistent with the overall study population. Specifically, both children with a history of contact with a dog had normal examinations, contrary to previously published cases 23,24 . Examples of such normal examination findings are shown in Figure 1.…”

Section: Resultscontrasting

confidence: 58%

“…Specifically, both children with a history of contact with a dog had normal examinations, contrary to previously published cases. 23,24 Examples of such normal examination findings are shown in Figure 1. Only 7 (10.3%) children demonstrated any physical examination abnormalities reflective of penetrating trauma, and the majority of these findings (5/7) were vaginal injury, usually detected on an examination completed within a few days of the most recent contact event (Fig.…”

Section: Case Seriesmentioning

confidence: 99%

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Polyembolokoilamania in Child Sexual Abuse

2022

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Objective: To characterize the physical examination findings in children and adolescents who disclosed insertion of an object into their bodies as part of their sexual abuse history and to identify how this population compares to similar cases described in the published literature.Methods: This is a 15-year retrospective review of children younger than 18 years seen at a large urban children's assessment center. In addition, we reviewed and summarized the last two decades of literature characterizing pediatric anogenital foreign bodies to better understand previously described findings in similar populations.Results: Sixty-eight children whose abuse histories included anal or genital insertion of a foreign body still presented with normal examination findings in the vast majority (89.7%) of cases, despite the diversity of items described. The literature on anogenital foreign bodies was sparse, offered a variety of approaches to the overall evaluation of such cases, and demonstrated inconsistent consideration of child sexual abuse in response to the diagnosis.Conclusions: This article further supports the literature reflecting the overall rarity of abnormal anogenital findings in the clinical assessment for sexual abuse.

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Section: Resultscontrasting

confidence: 58%

Section: Case Seriesmentioning

confidence: 99%