Volume 6, Issue 1, March 1999, Pages 35-38
P. Chariot MD ab C. Rey ca and P. Werson a
b Department of Pathology, Hôpital Henri Mondor, 94000, Créteil, France
c Adolescent Medicine, Department of Pediatry, Hôpital Bicêtre, 94270, Kremlin Bicêtre, France
Abstract About the reference, clic on the Dr. Philippe Werson picture
Case 2: a 7-year-old boy complained of having been sexually assaulted 24 h before. The boy did not report any pain or bleeding during or after the assault. Examination of the perianal region and of the anal sphineter were normal. Proctoscopy did not show any evidence of trauma to the anal canal. Tests to detect spermatozoa in the rectum were positive. The assailant was arrested.
The present cases illustrate that: (i) psychological and social consequences of the biased interpretation of common symptoms may be dramatic in the case of child sexual abuse; (ii) both questioning and examining a child may be difficult for non-specialized practitioners; and (iii) tests to detect spermatozoa should be systematically performed in the case of a suspected or alleged recent assault, even in the absence of any clinical lesions.
About the reference, clic on the Dr. Philippe Werson picture