Work

Abnormal anus and hymen in a toddler: A case report

Year: 2025

Type: article

Abstract: A 2-year-old girl presented to the Emergency Department with genital complaints and a concern for sexual abuse. A perineal defect and absence of a segment of the posterior hymen were observed; the caregiver denied a past history of trauma. No other signs consistent with abuse or neglect were noted on examination. Pediatric surgery conducted an exam under anesthesia and confirmed a perineal fistula. While trauma is the most likely explanation for a large segmental defect in the posterior hymen, the co-occurrence of an anatomical variant of the anus and perineum in this patient raises questions about the etiology of both findings. This case underscores the importance of adequate examinations with careful inspection and documentation of anogenital structures in the newborn period.

Source: SAGE Open Medical Case Reports

DOI: 10.1177/2050313x251336057

Authors: Nancy D. Kellogg, Lora R. Spiller

Institution: The University of Texas at San Antonio Health Science Center

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000