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Trichobezoar in Vagina: Assessment for Child Sexual Abuse and Diagnostic Result of Forensic Science
Author(s) -
Bağ Özlem,
Acar Buğra Han,
Öztürk Şenol,
Alşen Sevay,
Ecevit Çiğdem
Publication year - 2017
Publication title -
journal of forensic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.715
H-Index - 96
eISSN - 1556-4029
pISSN - 0022-1198
DOI - 10.1111/1556-4029.13282
Subject(s) - forensic science , vagina , sexual assault , sexual abuse , child sexual abuse , medicine , poison control , medical emergency , human factors and ergonomics , surgery , veterinary medicine
Vaginal discharge and bleeding in children require a through and thoughtful evaluation to diagnose the underlying problem including infections, sexual abuse, and vaginal foreign bodies. We report a 6‐year‐old girl presenting with bloody vaginal discharge, carefully evaluated for sexual abuse, and finally diagnosed as a vaginal foreign body after vaginoscopy. A rolling hair ball was extracted from the vagina and was diagnosed as trichobezoar pathologically without any endo–ecto‐mesodermal residual tissue. The hair ball was genetically detected and diagnosed to belong herself by containing no foreign structure. Child sexual abuse was ruled out by forensic interview at CAC and report of forensic science that reported genetic structure belonging to the child. Medicolegal assessment helped in final diagnosis to exclude child sexual abuse.