Foreign body sexual assault complicated by rectovaginal fistula

Received 25 May 2009; accepted 9 September 2009.

Abstract

A case is discussed of an adolescent presenting with a rectovaginal fistula secondary to a sexual assault 2 years earlier. The fistula resulted from a retained foreign body (bottle cap) inserted into the vagina during the assault. The adolescent did not disclose the presence of the foreign body at the initial examination.

Keywords: Sexual assault, Rectovaginal fistula, Foreign body

a Emergency Department, Timaru Hospital, Timaru, New Zealand

b Cambridge Clinic, Christchurch, New Zealand

c Department of Paediatrics, School of Medicine and Health Sciences, PO Box 7343, University of Otago, Wellington, New Zealand

Corresponding author. Tel.: +64 4 3855999; fax: +64 4 3855898.

PII: S1752-928X(09)00157-7

doi:10.1016/j.jflm.2009.09.009

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