Table 2 Anal signs in children examined <7 days after last reported abuse
Gender (age in years)BruisingLacerationsScarsRADOther non-diagnostic signs around anus
Girl (14)Present5 lacerations at 2, 4, 7, 9 and 11 o’clock, some extending onto perianal skinNoneNoneNone
Girl (7)None2 lacerations at 6 and 7 o’clockNoneNoneScratch on perianal skin
Girl (16)Present2 lacerations at 9 and 11 o’clockNoneNoneNone
Girl (2)None1 laceration at 12 o’clock, extending onto perianal skinNoneNoneNone
Girl (2)NoneNoneNoneNoneMarked perianal tenderness, erythema, molluscum contagiosum
Girl (6)NoneLacerations at 6 o’clock, extending onto perianal skinNoneNoneAnogenital warts
Boy (9)PresentNoneNonePresentNone
Boy (13)PresentNoneNoneNoneNone
Boy (8)PresentNoneNoneNoneNone
Boy (6)PresentNoneNoneNoneNone
Boy (3)PresentNoneNoneNoneNone
Boy (5)NoneHealedScar at 10 o’clock extending onto perianal skinNoneNone
Boy (7)NoneLacerations at 8 o’clock not extending onto perianal skinNoneNoneNone
  • RAD, reflex anal dilatation.