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Anal Fissure Produced by Examination for Sexual Abuse

Anal Fissure Produced by Examination for Sexual Abuse Abstract Sir.—The article by Bays and Jenny1 in the December 1990 issue of AJDC is a valuable review of the many physical findings that can be confused with sexual abuse. The authors stated that forceful abduction of the legs may cause splitting injuries of midline structures. I would like to report a case in which forceful abduction of the buttocks coupled with misrecognition of a normal structure led to a false assumption of sexual abuse. Report of a Case.—A 12-month-old white girl was brought to the office by her mother. The mother gave a specific history that the father, who had only weekend custody, had had rectal intercourse with her daughter. The mother stated that the child had difficulty with bowel movements after a weekend visitation. The child had already been examined by an emergency department physician and another local pediatrician. Without prompting, the mother then suddenly demonstrated References 1. Bays J, Jenny C. Genital and anal conditions confused with child sexual abuse trauma . AJDC . 1990;144:1319-1322. 2. Paradise JE, Rosatain AL, Nathanson M. Substitution of sexual abuse charges when parents dispute custody or visitation . Pediatrics . 1988;81:835-839. 3. Fay RE. Allegations of sexual abuse . Pediatrics . 1990;86:488-489. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Anal Fissure Produced by Examination for Sexual Abuse

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1991.02160080022010
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—The article by Bays and Jenny1 in the December 1990 issue of AJDC is a valuable review of the many physical findings that can be confused with sexual abuse. The authors stated that forceful abduction of the legs may cause splitting injuries of midline structures. I would like to report a case in which forceful abduction of the buttocks coupled with misrecognition of a normal structure led to a false assumption of sexual abuse. Report of a Case.—A 12-month-old white girl was brought to the office by her mother. The mother gave a specific history that the father, who had only weekend custody, had had rectal intercourse with her daughter. The mother stated that the child had difficulty with bowel movements after a weekend visitation. The child had already been examined by an emergency department physician and another local pediatrician. Without prompting, the mother then suddenly demonstrated References 1. Bays J, Jenny C. Genital and anal conditions confused with child sexual abuse trauma . AJDC . 1990;144:1319-1322. 2. Paradise JE, Rosatain AL, Nathanson M. Substitution of sexual abuse charges when parents dispute custody or visitation . Pediatrics . 1988;81:835-839. 3. Fay RE. Allegations of sexual abuse . Pediatrics . 1990;86:488-489.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Aug 1, 1991

References