Forensic Emergencies In The Context Of Genital Injuries: A Case Report

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2024-02-15 DOI:10.33706/jemcr.1392555
Zafer Li̇man, Uğur Kayhan
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Abstract

Introduction A review of gynecological emergency cases shows that traumatic injuries observed in consensual sexual relations, sexual abuse victims or following an abortion, secondary infections, internal organ injuries, and massive bleeding are gynecological forensic cases that may require an emergency approach. In this case; it is aimed to discuss the case of a child who was diagnosed as sexual abuse and reported as a forensic case. Case report In the evaluation of the case of a 15-year-old girl who applied to the emergency service with a history of the foot of a stool entering her vaginal area, it was seen that she had a complaint of active vaginal bleeding but was referred to Child Monitoring Center(ÇİM) without taking a detailed anamnesis or performing any tests. During the forensic interviews at ÇİM, on account of the fact that the patient complained of dizziness, an emergency forensic vaginal examination and operation was performed. Active vaginal bleeding, 3 cm transverse laceration, and uterine artery injury were found in the area between the upper cervix and lower uterine segment. Conclusion Our study aims to contribute to raising awareness about the importance of medical evaluation and healthy anamnesis in the emergency department regarding these issues.
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生殖器损伤的法医急诊:病例报告
导言 对妇科急诊病例的回顾表明,在双方同意的性关系、性虐待受害者或人工流产后观察到的创伤、继发性感染、内脏器官损伤和大量出血等妇科法医病例可能需要采取紧急措施。本病例旨在讨论一个被诊断为性虐待并作为法医病例报告的儿童病例。病例报告 在对一名 15 岁女孩的病例进行评估时发现,她有阴道出血的主诉,但被转到儿童监测中心(ÇİM)时没有进行详细的病史询问或任何检查。在 ÇİM 进行法医询问期间,由于患者抱怨头晕,因此进行了紧急法医阴道检查和手术。在宫颈上段和子宫下段之间的区域发现了活动性阴道出血、3 厘米横向裂伤和子宫动脉损伤。结论 我们的研究旨在提高人们对在急诊科就这些问题进行医学评估和健康病史的重要性的认识。
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