title: Anal injury and fissure-in-ano from sexual abuse in children.
abstract: Ano-rectal injuries in children are generally uncommon, and those caused by sexual abuse are rarely reported in our environment. This is a report of two children aged 5 and 12 years who sustained anal injuries following anal sexual abuse. Both presented late with fissure-in-ano and were managed conservatively. Though fissure-in-ano is not uncommon in children, it might be necessary to exclude sexual abuse and undertake appropriate evaluation and treatment. The child must be protected from further abuse.
authors.affiliation: Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. ameh@abu.edu.ng
authors.forename: E A
authors.initials: EA
authors.lastname: Ameh
mesh_terms: D001003:Anal Canal / Q000293:injuries*; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis*; D002675:Child, Preschool; D005260:Female; D005401:Fissure in Ano / Q000209:etiology*; D006801:Humans; D008297:Male