1.
J Pediatr Surg
; 37(1): 132-3, 2002 Jan.
Article
in English
| MEDLINE
| ID: mdl-11782007
ABSTRACT
Anal fistulae are seen infrequently in the pediatric population. They are most commonly encountered in otherwise healthy boys less than 1 year of age. In the scant literature regarding pediatric anal fistulae, the majority of studies and case reports involve children less than 1 year of age. Within a 2-year period 2 school age girls presented to the authors' clinic with anal fistulae without history of a perianal abscess and without predisposing factors. Both of these children had a history of sexual abuse. We believe that in an otherwise healthy school age girl the appearance of an anal fistula should raise concern for the possibility of sexual abuse.