title: Ovarian Cystadenoma in a Trafficked Patient.
abstract: The topic of child sex trafficking is receiving increased attention both in the lay press and in research articles. Recently, a number of physician organizations have issued policy statements calling for the education and involvement of physicians in combating this form of "modern-day slavery." Primary care and emergency medicine physicians have led these efforts, but a number of these victims may present to surgeons. Surgeons are in a unique position to identify trafficked patients; during the process of undraping, intubation, and surgical preparation, signs of trafficking such as tattoos, scars, dental injuries, and bruising may be evident. In addition, these patients may have specific needs in terms of anesthesia and postoperative care due to substance abuse. Here, we report the case of an 18-year-old girl with a history of sexual exploitation who presents for cystadenoma excision. To our knowledge, this is the first report of a sex-trafficked pediatric patient presenting for surgery.
authors.affiliation: Division of Adolescent Medicine, Department of Pediatrics, The Children's Hospital at Montefiore, Bronx, New York; ktitchen@montefiore.org.
authors.forename: Kanani E
authors.initials: KE
authors.lastname: Titchen
authors.affiliation: A.I. duPont Hospital for Children, Wilmington, Delaware; and Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania.
authors.forename: Douglas
authors.initials: D
authors.lastname: Katz
authors.affiliation: A.I. duPont Hospital for Children, Wilmington, Delaware; and Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania.
authors.forename: Kidian
authors.initials: K
authors.lastname: Martinez
authors.affiliation: A.I. duPont Hospital for Children, Wilmington, Delaware; and Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania.
authors.forename: Krishna
authors.initials: K
authors.lastname: White
mesh_terms: D000293:Adolescent; D003537:Cystadenoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D064410:Human Trafficking; D006801:Humans; D008279:Magnetic Resonance Imaging; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010346:Patient Care Management; D012749:Sexually Transmitted Diseases / Q000150:complications