Vaginal laceration as a result of blunt vehicular trauma.
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.
Gabriel
Noëlle M
NM
Eastern Virginia Medical School, Norfolk, VA, USA. Noelle.Gabriel@chkd.org
Clayton
Michelle
M
Starling
Suzanne P
SP
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*