Abstract
A one year old girl was presented at the ER because of a large perineal impalement injury. She required surgery and a stoma was placed. Initially no causative mechanism for the injury was described. Further history-taking revealed she had jumped in the bath on a castle-shaped shampoo bottle. This explanation matches both the injury and the developmental stage of the child. With this case we aim to underline the importance of detailed history-taking in order to distinguish between accident and abuse. The history-taking should include a detailed history of the mechanism of trauma, in order to relate this to the injury and the developmental stage of the child. If there is a suspicion of child abuse risk factors for child abuse should be sorted out. If there is doubt about the relation between the mechanism described and the injury, a forensic expert should be consulted.
| Translated title of the contribution | A one year old girl with perineal injury |
|---|---|
| Original language | Dutch |
| Pages (from-to) | 103-106 |
| Number of pages | 4 |
| Journal | Tijdschrift voor Kindergeneeskunde |
| Volume | 81 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Aug 2013 |