Een meisje van 1 jaar met perineumletsel

Translated title of the contribution: A one year old girl with perineal injury

Tessa Sieswerda-Hoogendoorn*, Roel Bakx, Rian H. Teeuw

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


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 contributionA one year old girl with perineal injury
Original languageDutch
Pages (from-to)103-106
Number of pages4
JournalTijdschrift voor Kindergeneeskunde
Issue number4
Publication statusPublished - 1 Aug 2013

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