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Gut prolapse into the perineum in a case of sexual assault

Sandeep Singla1, Ravi Garg, Ravinderjeet Singh

  • 1Department of Surgery, Dayanand Medical College and Hospital Ludhiana, Ludhiana, Punjab, India.

Indian Journal of Pediatrics
|April 22, 2009
PubMed

Insights

This case report details a severe sexual assault injury in a six-year-old girl, involving extensive perineal damage and intestinal prolapse. It underscores the critical need to recognize the extreme physical trauma possible from sexual assault.

Area of Science:

  • Forensic Medicine
  • Pediatric Surgery
  • Trauma Surgery

Background:

  • Sexual assault in children presents a significant public health concern.
  • Perineal injuries from sexual assault can range in severity.
  • Intestinal prolapse is a rare but devastating complication.

Observation:

  • A six-year-old female child presented with a Grade IV perineal injury.
  • The injury resulted in massive intestinal prolapse through the perineum.
  • This highlights the extreme physical trauma associated with severe sexual assault.

Findings:

  • The case demonstrates a catastrophic outcome of sexual assault.
  • Surgical intervention is critical for managing such severe trauma.
  • Prompt medical and forensic evaluation is essential.

Implications:

  • This case emphasizes the need for heightened awareness and reporting of child sexual abuse.
  • It highlights the importance of specialized medical care for victims of severe sexual assault.
  • Understanding the spectrum of injury is crucial for forensic and clinical management.

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