Other Injuries

The other anal injuries that have been described in complainants of anal penetration are bruises (2-4%), abrasions (4-5%), erythema (2-8%), and swelling/edema (2-6%) (90,134). Slaughter et al. (90) described a high number of rectal injuries, in addition to the lacerations described (ecchymosis, n = 1; abrasions, n = 2; redness, n = 1; and swelling, n = 6) that were detectable among eight sexual assaults complainants who described "anal contact" (90). Although bruises are indicative of blunt trauma, the other findings may have innocent explanations, for example, a superficial abrasion of the anal verge has been identified on a child who interrupted the medical to pass a motion (observation of D. Rogers). Although erythema and swelling/edema are also nonspecific findings, if they have completely resolved at a follow-up examination, it may be possible to relate them to the allegation. All these minor injuries would be expected to heal within 2 weeks of the incident without any residual scarring.

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