@article{ref1,
title="Case series: vaginal rupture injuries following sexual assault in children and adolescents",
journal="Journal of Pediatric and Adolescent Gynecology",
year="2015",
author="Abraham, Margaret and Kondis, Jamie and Merritt, Diane F.",
volume="29",
number="3",
pages="e49-52",
abstract="BACKGROUND: Vaginal rupture following sexual assault is a rare but life-threatening occurrence requiring prompt recognition and treatment. Here, we describe four such cases in children. Our purposes are to increase clinicians' awareness of the physical trauma that a sexual abuse victim can suffer from and increase recognition that these victims require immediate trauma services. CASES: Each patient had obvious hymenal and vaginal lacerations with a vaginal apical rupture injury and secondary acute blood loss. None of the four victims sustained infectious sequelae. SUMMARY AND CONCLUSION: Providers should have a low threshold for managing sexual abuse victims as trauma cases when they have obvious hymenal and vaginal lacerations and genital bleeding, proceeding expeditiously to examination under general anesthesia when appropriate.<p /> <p>Language: en</p>",
language="en",
issn="1083-3188",
doi="10.1016/j.jpag.2015.12.009",
url="http://dx.doi.org/10.1016/j.jpag.2015.12.009"
}