RESUMO
Objectives: To describe a case of Crohn's disease presenting as an anal ulceration in a 12 year-old girl, diagnosed initially as sexual abuse. Description: We study a case of Crohn?s disease presenting as a perianal ulcer in a 12 year-old girl, diagnosed initially as sexual abuse with serious medico-legal, psychological and socio-familiar implications. Comments: Crohn?s disease is rare during childhood, and a minority presents as perianal ulcers. Considering sexual abuse against adolescents is much commoner it turns essential to consider the differential diagnosis correctly, because of the risks involved, mainly represented by psychological and familiar disruption, medico-legal implications and treatment delay.
Assuntos
Humanos , Feminino , Adolescente , Doença de Crohn/diagnóstico , Doença de Crohn/terapia , Abuso Sexual na InfânciaRESUMO
The objective of this article is to study the clinical presentation and diagnostic indexes for pediatric trichobezoars based on clinical cases and literature review. The abdominal tetrad of subacute pain, epigastric mass, ponderal loss and trichophagia strongly suggests the diagnosis of trichobezoar in pediatric patients. Behaviour problems are the rule, but there isn't always a previous psychiatric diagnosis. Treatment is surgical and psychiatric long-term follow-up is necessary.