Case Series: Vaginal Rupture Injuries after Sexual Assault in Children and Adolescents

Margaret Abraham, Jamie Kondis, Diane F. Merritt

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: Vaginal rupture after sexual assault is a rare but life-threatening occurrence requiring prompt recognition and treatment. Herein, we describe four such cases in children. Our purposes are to increase clinicians' awareness of the physical trauma that a sexual abuse victim can suffer and increase recognition that these victims require immediate trauma services. Cases: Each patient had obvious hymenal and vaginal lacerations with a vaginal apical rupture injury and secondary acute blood loss. None of the four victims sustained infectious sequelae. Summary and Conclusion: Providers should have a low threshold for managing sexual abuse victims as trauma cases when they have obvious hymenal and vaginal lacerations and genital bleeding, proceeding expeditiously to examination using general anesthesia when appropriate.

Original languageEnglish
Pages (from-to)e49-e52
JournalJournal of Pediatric and Adolescent Gynecology
Volume29
Issue number3
DOIs
StatePublished - Jun 1 2016

Keywords

  • Genital injury
  • Sexual abuse
  • Vaginal rupture

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