Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. Djamena Mother and Child hospital, Chad. P N'Djamena, Tel 66 28 63 Received: May 24, Published: December 6,
The hymen is a thin piece of mucosal tissue that surrounds or partially covers the external vaginal opening. It forms part of the vulva , or external genitalia , and is similar in structure to the vagina. Tearing the hymen during the first sexual intercourse usually causes pain and, sometimes, some light bleeding. In children, a common appearance of the hymen is crescent -shaped, although many shapes are possible. During puberty , estrogen causes the hymen to change in appearance  and become very elastic.
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View research View latest news Sign up for updates. Skip to main content Advertisement. Search all BMC articles Search. Type of anatomical findings Description Relevance to assessment of sexual assault Lacerations A laceration is defined as an acute tear through the full thickness of the skin or other tissues. A laceration to the hymen may involve the tearing of the full width of the hymen or only the partial width. These injuries can mimic those seen in child sexual abuse. A transection is not an acute injury, but it can be considered a sign of a healed injury. Hymenal transections are very rarely seen in prepubertal girls who have not been sexually abused. When hymenal transection are found, previous or past penetrative injury should be strongly suspected.
The presentation of genital injuries and emergencies in pediatric girls can sometimes be misleading. A traumatic injury with excessive bleeding may be a straddle injury that requires only conservative management, while a penetrating injury may have no recognizable signs or symptoms but require extensive surgery. This issue reviews the most common traumatic genital injuries in girls presenting to the emergency department, including straddle injuries, hematomas, and impalement injuries. Nontraumatic emergencies, including hematocolpos and urethral prolapse, are also discussed. Evidence-based recommendations are presented for identifying and managing these common genital injuries and emergencies in pediatric girls. A year-old adolescent girl is brought into the ED by her mother for severe abdominal and pelvic pain with dysuria. The patient is otherwise healthy, with no significant past medical history. She is not sexually active and denies any trauma.