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A Journal on Forensic Medicine
Minerva Medicolegale 2000 June;120(2): 71-8
Anal lesions in child chronic sexual abuse. Preliminary data
Bruni M., Bruni E.
A report of 13 children in whom chronic anal abuse has been demonstrated is presented. The fissure(s) was the most common sign, with its evolutions in scars and distal tags: the number of fissures variated from 1 to 4 per child. Only one case showed no fissures, but reflex anal dilatation and venous congestion. These signs, when associated, seem very predictive for previous sexual abuse in the anal region.