title: Trichobezoar in Vagina: Assessment for Child Sexual Abuse and Diagnostic Result of Forensic Science.
abstract: Vaginal discharge and bleeding in children require a through and thoughtful evaluation to diagnose the underlying problem including infections, sexual abuse, and vaginal foreign bodies. We report a 6-year-old girl presenting with bloody vaginal discharge, carefully evaluated for sexual abuse, and finally diagnosed as a vaginal foreign body after vaginoscopy. A rolling hair ball was extracted from the vagina and was diagnosed as trichobezoar pathologically without any endo-ecto-mesodermal residual tissue. The hair ball was genetically detected and diagnosed to belong herself by containing no foreign structure. Child sexual abuse was ruled out by forensic interview at CAC and report of forensic science that reported genetic structure belonging to the child. Medicolegal assessment helped in final diagnosis to exclude child sexual abuse.
authors.affiliation: Clinics of Pediatrics, Child Advocacy Center, Behçet Uz Children's Hospital, İzmir, Turkey.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Bağ
authors.affiliation: Clinics of Pediatrics, Behçet Uz Children's Hospital, İzmir, Turkey.
authors.forename: Buğra Han
authors.initials: BH
authors.lastname: Acar
authors.affiliation: Clinics of Pediatric Surgery, Behçet Uz Children's Hospital, İzmir, Turkey.
authors.forename: Şenol
authors.initials: Ş
authors.lastname: Öztürk
authors.affiliation: Child and Adolescent Psychiatry, Child Advocacy Center, Behçet Uz Children's Hospital, İzmir, Turkey.
authors.forename: Sevay
authors.initials: S
authors.lastname: Alşen
authors.affiliation: Clinics of Pediatrics, Behçet Uz Children's Hospital, İzmir, Turkey.
authors.forename: Çiğdem
authors.initials: Ç
authors.lastname: Ecevit
mesh_terms: D001630:Bezoars / Q000175:diagnosis*; D002648:Child; D002650:Child Abuse, Sexual; D016172:DNA Fingerprinting; D003937:Diagnosis, Differential; D005260:Female; D006197:Hair / Q000737:chemistry; D006801:Humans; D014621:Vagina; D019522:Vaginal Discharge / Q000209:etiology*
keywords: child advocacy center; child sexual abuse; forensic interview; forensic science; trichobezoar; vaginal foreign body