Accidental Genital Trauma In The Female Children In Jordan And The Role of Forensic Medicine

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Journal Title, Volume, Page: 
Saudi Med J. 2013 Oct;34(10):1043-7
Year of Publication: 
Al-Abdallat EM
Forensic Department, Faculty of Medicine, Jordan University, PO Box 13002, Amman 11942, Jordan
Al-Ali RA
Current Affiliation: 
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestin
Salameh GA
Preferred Abstract (Original): 

OBJECTIVE:  To evaluate the frequency and the nature of genital trauma in female children in Jordan, and to stress the role of forensics.
METHODS:  This is a cross-sectional study conducted between March 2008 and December 2011 in Jordan University Hospital, Amman, Jordan. Sixty-three female children were examined for genital trauma after immediate admission. The mechanism of injury was categorized and reported by the examiners as either straddle, non-straddle blunt, or penetrating.
RESULTS:  Straddle injury was the cause of injuries in 90.5% of patients, and contusions were the significant type of injury in 34% of patients, followed by abrasions in both labia majora and labia minora. Only one case suffered from non-intact hymen and 2 had hematuria. These 3 cases (4.7%) required surgical intervention and follow-up after 2 weeks.
CONCLUSION:  Straddle injuries were the main cause of genital trauma and rarely affect the hymen; however, due to the sensitivity of the subject and the severity of the traumas, forensic physicians should provide consultation and cooperate with gynecologists to exclude or confirm hymenal injuries, where empathy is necessary to mitigate tension associated with such injuries for the sake of the child and the parents as well, along with good management of the injury type. 

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