TY  - JOUR
PY  - 2011//
TI  - Rectal Perforation Secondary to Rape and Fisting in a Female Adolescent
JO  - Pediatric emergency care
A1  - Delacroix, Johanna
A1  - Brown, Jocelyn
A1  - Kadenhe-Chiweshe, Angela
A1  - Bodenstein, Lawrence
A1  - Stimell-Rauch, Mindy
A1  - Lowe, Tawny
SP  - 116
EP  - 119
VL  - 27
IS  - 2
N2  - We present the case of a 16-year-old girl who was sexually assaulted with trans-anal forearm penetration resulting in rectal perforation. She required a sigmoid colostomy that was later reversed. The patient's history and physical examination was complicated by multiple factors: she was intoxicated at the time of presentation as well as during the assault; her presentation fluctuated over time, she was obese, and she carried a psychiatric diagnosis. This case report documents a rare injury caused by sexual assault in the adolescent population and also serves as a platform to discuss the evaluation and management of pediatric victims of sexual assault. We support a collaborative model of care including qualified sexual assault pediatricians, sexual assault nurse (or forensic) examiners, medical specialists, and the criminal justice system. The importance of developing updated sexual assault protocols, ensuring their implementation, and maintaining continuous quality assurance cannot be overemphasized.<p />  <p>Language: en</p>
LA  - en
SN  - 0749-5161
UR  - http://dx.doi.org/10.1097/PEC.0b013e318209af63
ID  - ref1
ER  -