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PEDIATRICS Vol. 108 No. 3 September 2001, p. e53

ELECTRONIC ARTICLE:
Imperforate Hymen: Congenital or Acquired From Sexual Abuse?

Received Jan 18, 2001; accepted May 3, 2001.

Ann S. Botash and Florence Jean-Louis

From the Department of Pediatrics, State University of New York, Upstate Medical University, Syracuse, New York.

Imperforate hymen diagnosed beyond the newborn period may present a dilemma for the physician. Three case studies are reviewed in which children with the diagnoses of imperforate hymen presented for evaluation of suspected sexual abuse. Clear descriptions of genital anatomy documented at well-child visits may be critical to later interpretations of findings encountered during examinations for suspected sexual abuse.

 Key words:  sexual abuse, imperforate hymen, congenital anomaly.