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Genital Manifestations of Physical Abuse in Male Infants and Children
Katherine W Canty1, Abigail Keogh1, Michael P Kurtz2
1Division of General Pediatrics, Boston Children's Hospital, Boston, MA.
Insights
Genital bruising in male patients may indicate physical abuse. Doctors should consider child abuse evaluation for unexplained genital trauma, recognizing it as a potential sentinel injury.
Area of Science:
- Pediatrics
- Forensic Medicine
- Child Health
Background:
- Genital trauma is a concerning sign in pediatric patients.
- Recognizing sentinel injuries is crucial for identifying abuse.
- Bruising in the genital area requires careful consideration of its cause.
Abstract:
We present 3 male patients with genital bruising due to physical abuse to improve recognition of genital trauma as a sentinel injury. In the absence of an underlying medical condition or a clear acceptable accidental mechanism for the genital injury, an evaluation for child abuse is recommended.
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