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

Year 2024, Volume: 15 Issue: 1, 26 - 28, 29.03.2024

Zafer Liman Uğur Kayhan

https://doi.org/10.33706/jemcr.1392555

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.

Keywords

forensic medicine, emergency medical services, child abuse, accidental falls, medical history taking

Ethical Statement

Conflict of Interest statement “The authors declare no conflict of interest”. Author contributions statement All authors contributed to the study conception, design and all other phases. All authors read and approved the final manuscript. Authors are responsible for correctness of the statements provided in the manuscript. Consent to Participate I / We agree to be a participant in this study. I acknowledge that I am aware of what this study involves. There is a detailed statement that written patient consent/next of kin. Ethical Approval The study was approved by Karabük University Non-Interventional Clinical Research Ethics Committee's decision dated 07/11/2023 and numbered 2023/1482.

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