OBJECTIVE: To characterize accidental pediatric @entity790 in males and compare these physical findings to a cohort of @entity1 evaluated for @entity458 . DESIGN: Retrospective chart review. SETTING: Tertiary pediatric @entity458 . @entity1 : Male @entity1 evaluated in the emergency department for @entity790 from 9/1/89 through 10/31/93 ("accidental group"). Male @entity1 referred to @entity1 Protection Services for suspected @entity458 from 1/1/93 through 12/31/95 who had abnormal genital physical findings (" @entity458 group"). MAIN OUTCOME MEASURES: Outcomes measured included age, mechanism of injury, category of diagnosis, location of injury, and @entity130 . RESULTS: Forty-four male @entity1 comprised the accidental group, aged six months to 17 years. The most common mechanism was a fall onto an object (34%). The most common @entity130 were lacerations/perforations of the scrotum (36%) followed by penile lacerations/perforations (25%). No @entity1 had an isolated rectal laceration. Forty-four male @entity1 with positive physical findings comprised the @entity458 group. Ages ranged from seven months to 18 years. All @entity1 had @entity75 . Penile lacerations/perforations were the only other @entity130 documented, occurring in two @entity1 . CONCLUSIONS: @entity790 in the pediatric population is uncommon; scrotal @entity130 occurs much more frequently than @entity130 . @entity130 in the @entity458 group typically involves only the rectal area. @entity458 should be considered in @entity1 with isolated @entity130 or whenever the alleged history does not correlate with physical findings.

Pediatric male rectal and genital XXXX : accidental and nonaccidental @entity130 .

@entity1 :: ('9606', 'Species') :: ['Child', 'patients', 'patient', 'PARTICIPANTS', 'boys'] @entity75 :: ('MESH:D001927', 'Disease') :: ['rectal lesions'] @entity458 :: ('MESH:D020018', 'Disease') :: ['trauma center/sexual abuse clinic', 'sexual abuse', 'Sexual assault'] @entity790 :: ('MESH:D014564', 'Disease') :: ['rectal/genital trauma', 'Accidental rectal/genital trauma'] @entity130 :: ('MESH:D014947', 'Disease') :: ['Rectal/genital injury', 'rectal injury', 'injuries', 'type of injury', 'trauma', 'rectal trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
