Citation

Gabriel NM, Clayton M, Starling SP. J. Pediatr. Adolesc. Gynecol. 2009; 22(5): e166-8.

Affiliation

Eastern Virginia Medical School, Norfolk, VA, and Children's Hospital of The King's Daughters, Norfolk, VA.

Copyright

(Copyright © 2009, North American Society for Pediatric and Adolescent Gynecology, Publisher Elsevier Publishing)

DOI

10.1016/j.jpag.2009.03.008

PMID

19576824

Abstract

BACKGROUND: Sexual abuse often is the primary diagnosis considered when prepubertal girls present with vaginal trauma. Although sexual abuse is very concerning and should remain high in the differential diagnosis, a variety of accidental injuries also can cause genital injury. CASE: A 5-year-old girl presented to the emergency department with genital bleeding after a vehicle rolled over her pelvis. She had isolated vaginal lacerations on exam. SUMMARY AND CONCLUSION: Extreme pelvic compression is an adequate mechanism of injury in a child presenting with vaginal laceration.

Language: en