title: Vaginal laceration as a result of blunt vehicular trauma.
abstract: BACKGROUND
  Sexual abuse often is the primary diagnosis considered when prepubertal girls present with vaginal trauma. Although sexual abuse is very concerning and should remain high in the differential diagnosis, a variety of accidental injuries also can cause genital injury.
  
  
  METHODS
  A 5-year-old girl presented to the emergency department with genital bleeding after a vehicle rolled over her pelvis. She had isolated vaginal lacerations on exam.
  
  
  CONCLUSIONS
  Extreme pelvic compression is an adequate mechanism of injury in a child presenting with vaginal laceration.
authors: Eastern Virginia Medical School, Norfolk, VA, USA. Noelle.Gabriel@chkd.org
authors: Noëlle M
authors: NM
authors: Gabriel
authors: Michelle
authors: M
authors: Clayton
authors: Suzanne P
authors: SP
authors: Starling
mesh_terms: D000063:Accidents, Traffic; D002675:Child, Preschool; D005260:Female; D006801:Humans; D022125:Lacerations / Q000209:etiology*; D046548:Pubic Symphysis Diastasis / Q000209:etiology*; D014621:Vagina / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000209:etiology*