Surgical Repair of an Impalement Genital Injury from an Inline Skating Accident in a 7-Year-Old Prepubertal Girl: A Case Report.
BACKGROUND
In girls who present with vaginal trauma, sexual abuse is often the primary diagnosis. The differential diagnosis must include patterns and the mechanism of injury that differentiate accidental injuries from inflicted trauma.


METHODS
A 7-year-old prepubertal girl presented to the emergency department with genital bleeding after a serious accidental impaling injury from inline skating. After rapid abduction of the legs and a fall onto the blade of an inline skate this child incurred an impaling genital injury consistent with an accidental mechanism. The dramatic genital injuries when repaired healed with almost imperceptible residual evidence of previous trauma.


CONCLUSIONS
To our knowledge, this case report represents the first in the medical literature of an impaling vaginal trauma from an inline skate and describes its clinical and surgical management.
Department of Obstetrics and Gynecology, Hospital of Aschaffenburg, Aschaffenburg, Germany; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary. Electronic address: drcsorbaroland@gmail.com.
Roland
R
Csorba
Department of Obstetrics and Gynecology, Hospital of Aschaffenburg, Aschaffenburg, Germany.
Joerg B
JB
Engel
Department of Neonatology and Pediatric Intensive care, Hospital of Aschaffenburg, Aschaffenburg, Germany.
Christian
C
Wieg
D002648:Child; D005260:Female; D006801:Humans; D012861:Skating / Q000293:injuries*; D014621:Vagina / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology / Q000601:surgery*
Accidental genital injury; Child sexual abuse; Prepubertal girl; Surgical repair