Linea Vestibularis: A Previously Undescribed Normal Genital Structure in Female Neonates

PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 926-929
Author(s):  
NANCY D. KELLOGG ◽  
JUAN M. PARRA
Keyword(s):  
Sexual Abuse ◽  
Anatomical Variations ◽  
White Area ◽  
Multiple Lesions ◽  
Single Entity ◽  
Female Children ◽  
Genital Structure

The increasing number of evidentiary examinations conducted for sexual abuse has accentuated the importance of defining normal genital anatomy, particularly within the vestibule of female children. In female newborns, normal anatomical variations of the hymen have been described1,2 but anatomical variations of the posterior vestibule underlying the hymen have not been reported. In children evaluated for sexual abuse a vestibular structure of varying description and location has been reported. A "midline avascular streak," "scar," and "a white area" have been noted in the posterior vestibule, posterior fourchette, and hymen.1,3,4 Whether these descriptions all pertain to a single entity or are multiple lesions is not known.

The ‘Anatomy’ of Female Child Sexual Abuse: Who does what to Young Girls?

1996 ◽  
Vol 30 (3) ◽  
pp. 319-325 ◽  
Author(s):  
Sarah E. Romans ◽  
Judy L. Martin ◽  
Jessie C. Anderson ◽  
Martine L. O'shea ◽  
Paul E. Mullen
Keyword(s):  
Sexual Abuse ◽  
New Zealand ◽  
Child Sexual Abuse ◽  
Family Member ◽  
Health Professionals ◽  
Female Child ◽  
Her Family ◽  
Sexually Abusive ◽  
Female Children ◽  
Stranger Danger

Objective: This paper aims to describe the characteristics of sexually abusive acts experienced by female children in order to identify those perpetrators who inflict intrusive and repeated child sexual abuse (CSA). Method: Data were collected from a random New Zealand sample of women aged 18 to 65 years who reported CSA, and a similar number of non-abused comparison women. Information on the perpetrator, the type of CSA, and perpetrator strategies were cross-tabulated. Results: The perpetrators were usually young men, well known to the victim or her family. Greater CSA intrusiveness was statistically associated with greater CSA frequency. Father/stepfather abusers were most likely to perpetrate intrusive and frequent CSA. However, family associates and non-paternal relatives were numerically more often reported as perpetrators than fathers/stepfathers. Stranger-perpetrators featured infrequently. Conclusion: We conclude that the most frequent and invasive CSA comes from someone well known to the child, particularly a family member or trusted friend. A focus by the courts or health professionals on either incest only (i.e. CSA between biological relatives) or ‘stranger danger’ will overlook the large categories of CSA perpetrated by secondary relative and family friend abusers.

Genital Lichen Sclerosus Mistaken for Child Sexual Abuse

PEDIATRICS ◽  
1989 ◽  
Vol 83 (4) ◽  
pp. 597-599
Author(s):  
CAROLE JENNY ◽  
PHILIP KIRBY ◽  
DIANE FUQUAY
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Postmenopausal Women ◽  
Male Genitalia ◽  
Clinical Manifestations ◽  
Lichen Sclerosus ◽  
Adult Women ◽  
Female Children

Because of heightened awareness about sexual abuse, it is important for physicians to differentiate between genital lesions associated with abuse and those associated with "natural" disease processes. Lichen sclerosus is a disease of the skin most often found in the vulvar and perianal areas of postmenopausal women. It is less commonly seen in prepubertal female children and premenopausal adult women. Cases of lichen sclerosus have also been reported on the male genitalia, and it is an uncommon cause of phimosis in boys. One of the clinical manifestations of lichen sclerosus is cutaneous bleeding causing lesions resembling "blood blisters" or bruises.

scholarly journals EVALUATION OF EXTRAGENITAL INJURIES IN FEMALE CHILDREN WITH SEXUAL ABUSE

2020 ◽  
Vol 6 (2) ◽  
pp. 35-40
Author(s):  
A. A. Krivokhat’ko
Keyword(s):  
Sexual Abuse ◽  
Statistical Power ◽  
Physical Violence ◽  
Statistical Significance ◽  
Forensic Evaluation ◽  
Medical Expert ◽  
Female Children ◽  
Kolmogorov Smirnov ◽  
Sexual Intention ◽  
Smirnov Test

The article reports results of a study of extragenital injuries in female children.Aim. Applied forensic evaluation of extragenital injuries in female children offended by sexual abuse.Material and methods. The study sample contained 517 observations, with 245 representing children suffered from physical sexual abuse and 272 — from physical violence without the sexual intention. Only injuries localised outside the genitals were considered. Particularly, we analysed the occurrence frequency of injuries confined to preselected parts of the victim’ body. Statistical significance was estimated with the Kolmogorov — Smirnov test, Mann — Whitney U-test and Сhi-squared test. After estimating the test statistical power, a resulting set of diagnostic coefficients was constructed to assess the practical value of the data.Conclusion. The estimated diagnostic coefficients provide a forensic medical expert with a probabilistic tool to qualify specific circumstances of extragenital injuries in offended female children in communication with legal authorities. 

Study of mechanisms and factors related to sexual abuse in female children and adolescents

2001 ◽  
Vol 77 (5) ◽  
pp. 413-9 ◽  
Author(s):  
Jefferson Drezett ◽  
Marcelo Caballero ◽  
Yara Juliano ◽  
Elizabeth T. Prieto ◽  
José A. Marques ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Children And Adolescents ◽  
Female Children

Cortisol and IL-6 Responses to Stress in Female Children Presenting at a Sexual Abuse Clinic

2014 ◽  
Vol 7 (3) ◽  
pp. 185-191 ◽  
Author(s):  
Denise Muller ◽  
Sheri Errington ◽  
Christopher Paul Szabo ◽  
Neville Pitts ◽  
Lorna Jacklin
Keyword(s):  
Sexual Abuse ◽  
Female Children
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