Main Article Content
Abstract
Introduction: Sexual abuse refers to any act that degrades, insults, harasses, or attacks an individual's body or reproductive functions due to power imbalances and/or gender inequality. This can lead to psychological and/or physical suffering, affecting reproductive health and hindering the individual's ability to pursue education or work safely and effectively.
Purpose: This case report aims to summarize the general history, physical findings and their relationship with medicolegal aspects in cases of child sexual abuse.
Methodology: This study is case report. The subject is a 17-year-old girl victim with sexual abuse. This case report provides case details such as patient description, clinical scenario, results of physical examination and anogenital examination and its relation to medicolegal.
Result: Examination of the victim found in a pregnant condition and a tear on the hymen. Furthermore, there are no injuries to other parts of the body.
Conclusion: Result of the examination proves there was intercourse that can shed light on the case of sexual violence. The victim's statement regarding the incident is reinforced with basic evidence of alleged sexual violence, and the determination is entirely by the investigator, the doctor as the examiner only has the right to examine and provide an opinion.
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References
- Kementerian Pemberdayaan Perempuan dan Perlindungan Anak RI. 2024. SIMFONI-PPA.
- Kitulwatte, G Indira Deepthi1; Wijewardena, H P2; Edirisinghe, P A S1; Senarathne, U D3. Analysis of Medicolegal Examination in Alleged Sexual Abuse Presented to a Tertiary Care Hospital in Sri Lanka. Journal of Forensic Science and Medicine 9(2):p 120-129, Apr–Jun 2023. | DOI: 10.4103/jfsm.jfsm_44_22
- Lincoln CA. 2018. Sexual Assault: Forensic Examination in the Living and Deceased. Academic Forensic Pathology.
- Kellogg, N. 2005. The evaluation of sexual abuse in children. Pediatrics.116(2): 506–12.
- Centers for Disease Control and Prevention. 2021 Sexual assault and abuse and STIsadolescents and adults. Available at: https://www.cdc.gov/std/treatmentguidelines/sexual-assault-adults.htm Pillay, J. Davis, TJ. 2023. Physiology Lactation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499981/ Sentís, A. Martin, SM. Arando, M. Vall, M. Barbera, MJ. Ocaña, I. González, CA. Alsina, M. Martin, EG. Knobel, H. et al. 2019. Sexually transmitted infections in young people and factors associated with HIV coinfection: An observational study in a large city. BMJ
- Talukdar. 2018. Disease Pattern among Sexually Transmitted Infection Clinic Attendees: A Hospital-Based Study. New Delhi. Indian Journal of Dermatology
- Al-Khateeb, NG. Al-Tameemi, NM. Jebur, RM. Lazim, H. 2023. Medico-legal study of the hymen. UK. Elsevier
- Cristina, C. 2014. Sexual Abuse, Handbook of Forensic Medicine First ed. John Wiley & Sons
- Adam, JA. Farst, KJ. Kellogg, MD. 2018. Interpretation of Medical Findings in Suspected Child Sexual Abuse: An update for 2018. North America. Journal of Pediatric and Adolescent Gynecology
References
Kementerian Pemberdayaan Perempuan dan Perlindungan Anak RI. 2024. SIMFONI-PPA.
Kitulwatte, G Indira Deepthi1; Wijewardena, H P2; Edirisinghe, P A S1; Senarathne, U D3. Analysis of Medicolegal Examination in Alleged Sexual Abuse Presented to a Tertiary Care Hospital in Sri Lanka. Journal of Forensic Science and Medicine 9(2):p 120-129, Apr–Jun 2023. | DOI: 10.4103/jfsm.jfsm_44_22
Lincoln CA. 2018. Sexual Assault: Forensic Examination in the Living and Deceased. Academic Forensic Pathology.
Kellogg, N. 2005. The evaluation of sexual abuse in children. Pediatrics.116(2): 506–12.
Centers for Disease Control and Prevention. 2021 Sexual assault and abuse and STIsadolescents and adults. Available at: https://www.cdc.gov/std/treatmentguidelines/sexual-assault-adults.htm Pillay, J. Davis, TJ. 2023. Physiology Lactation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499981/ Sentís, A. Martin, SM. Arando, M. Vall, M. Barbera, MJ. Ocaña, I. González, CA. Alsina, M. Martin, EG. Knobel, H. et al. 2019. Sexually transmitted infections in young people and factors associated with HIV coinfection: An observational study in a large city. BMJ
Talukdar. 2018. Disease Pattern among Sexually Transmitted Infection Clinic Attendees: A Hospital-Based Study. New Delhi. Indian Journal of Dermatology
Al-Khateeb, NG. Al-Tameemi, NM. Jebur, RM. Lazim, H. 2023. Medico-legal study of the hymen. UK. Elsevier
Cristina, C. 2014. Sexual Abuse, Handbook of Forensic Medicine First ed. John Wiley & Sons
Adam, JA. Farst, KJ. Kellogg, MD. 2018. Interpretation of Medical Findings in Suspected Child Sexual Abuse: An update for 2018. North America. Journal of Pediatric and Adolescent Gynecology