The authors inform no conflict of interest.

RELATO DE TRÊS CASOS: SUSPEITA DE ABUSO SEXUAL E PROLAPSO URETRAL

Gabriela Ferreira Freiria (1)

http://lattes.cnpq.br/6817383186551912 – https://orcid.org/0000-0002-1043-5572

Leonardo Isolani e Andrade (1)

http://lattes.cnpq.br/5623511422797664 – https://orcid.org/0000-0001-8215-1360

Letícia Conceição de Sousa Ferreira (1)

http://lattes.cnpq.br/3009185983616140 – https://orcid.org/0000-0002-5619-4006

Andressa Vinha Zanuncio (2)

http://lattes.cnpq.br/9200056649934993 – https://orcid.org/0000-0001-5760-1307

Alexandre Afonso Macedo Diniz (3)

http://lattes.cnpq.br/8570134718345884 – https://orcid.org/0000-0002-1043-5572

João Paulo Fonseca Nunes (4)

http://lattes.cnpq.br/3424771828547431 – https://orcid.org/0000-0002-7425-1414

(1) Graduando em Medicina, Universidade Federal de São João del-Rei, Campus Centro-Oeste, Divinópolis-MG, Brasil. (autor principal)

(2) Mestre e Doutora – UFMG. Professor Adjunto UFSJ/CCO. Médica Legista – PCMG. (orientador)

(3) Médico Legista e Urologista, Divinópolis-MG, Brasil. (coorientador)

(4) Médico Legista e Médico do Trabalho, Divinópolis-MG, Brasil. (coorientador)

E-mail para correspondência: zandressa@abel-raimundo-viga-do-rosario

ABSTRACT

Introduction: Urethral prolapse can be characterized by a circular protrusion of the urethra distally to the external urethral meatus, and its diagnosis is entirely clinical. The etiology is still not completely defined, but there are some hypotheses of clinical causes. Urethral prolapse is also one of the findings in child sexual abuse, however, as a rare condition, health professionals have little experience in diagnosing and distinguish it from other events that occur in childhood. Objective: To demonstrate the importance of the differential diagnosis of clinical conditions that can also characterize suspected child sexual abuse. Material and methods: This is a descriptive study, which presents the report of three cases of urethral prolapse, in which suspicions of sexual abuse were raised in a medium-sized city in Minas Gerais. Discussion: Urethral prolapse is an uncommon condition, but it should be considered in the differential diagnosis in cases of urogenital hemorrhage in prepubertal children. Conclusion: It is essential to correctly characterize the urethral prolapse, its probable etiology and, in the case of suspected sexual abuse, to be investigated by the expert medical authority.

Keywords: urethral prolapse, genital hemorrhage, child sexual abuse.

Bibliographical references

1. Torres R, Leite AL, Silva AV, Balona F, Ramalho G, Sousa P, et al. Prolapso Uretral. Acta Urológica. 2012; 4: p.47-50.
2. Miares CG, Carretero SF, Serna JMP, Díaz EA. Prolapso uretral en una niña con sangrado urogenital [Urethral prolapse in a girl with urogenital bleeding]. Arch Argent          2020;           118(1):           p26-29.
3. Gondim RMF, Muñoz DR, Petri V. Violência contra a criança: indicadores dermatológicos e diagnósticos diferenciais. Anais Brasileiros de Dermatologia. 2011; 86: p.527-536.
4. Sanjeevi J, Houlihan D, Bergstrom KA, Langley MM, Judkins J. A review of child sexual abuse: impact, risk, and resilience in the context of culture. Journal of child sexual abuse. 2018; 27(6): p.622-641.
5. Pomeranz ES. Child abuse and conditions that mimic it. Pediatr Clin North Am. 2018; 65(6): p.1135-50.

Tags: abuso sexual infantil child sexual abuse genital hemorrhage hemorragia genital prolapso de uretra prolapso uretral urethral prolapse