{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:44:38Z","timestamp":1780494278866,"version":"3.54.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":272,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Child sexual abuse (CSA) remains a big taboo in black Africa with an underestimated prevalence. In our context, the majority of cases are known by revelations of the child at least one year after the facts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of cases<\/jats:title>\n                    <jats:p>We report three cases of CSA revealed by an anal\/anogenital lesion requiring surgery. All of these patients were female with ages ranging from 20 months to 8 years. The lesions encountered were: an anal abscess, a fissure-in-ano with permanent anal mucosal eversion and a complex perineal tear including partial anal sphincter rupture with partial section of the rectovaginal septum. The outcome was favorable in all cases after surgery. The abuser was subsequently able to be identified after the statements of two of these three children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Detection of anogenital lesions during a pediatric consultation should make practitioners aware of the possibility of sexual abuse. Surgical repair of these lesions can be simple or complex, requiring major reconstructions. In such cases, it\u2019s important to listening to the child\u2019s voice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anogenital lesions discovered during pediatric consultation must evoke sexual abuse. The silence and the taboo surrounding these abuses in Africa must be break down.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.186","type":"journal-article","created":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T12:16:43Z","timestamp":1601641003000},"page":"341-344","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Anal\/anogenital lesion revealing child sexual abuse"],"prefix":"10.1097","volume":"76","author":[{"given":"Guy Aristide","family":"Bang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Tolefac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Patrick","family":"Savom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georges Bwelle","family":"Moto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice Aur\u00e9lien","family":"Sosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-81-20260114","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.afjem.2017.09.002","article-title":"A critical review of child abuse and its management in Africa","volume":"7","author":"Badoe","year":"2017","journal-title":"Afr. 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Approche \u00e9pid\u00e9miologique des violences sexuelles intrafamiliales en Afrique","volume":"51","author":"Mbassa Menick","year":"2012","journal-title":"Perspect. Psychol"},{"key":"R10-81-20260114","first-page":"155","article-title":"S\u00e9ropr\u00e9valence de l\u2019infection \u00e0 VIH chez les enfants victimes d\u2019abus sexuels au Cameroun","volume":"63","author":"Mbassa Menick","year":"2003","journal-title":"Med Trop"},{"key":"R11-81-20260114","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1038\/sj.bdj.2008.579","article-title":"The physical signs of child sexual abuse. An evidence-based review and guidance for best practice","volume":"205","author":"Acharya","year":"2008","journal-title":"Br. Dent. 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Behav"},{"key":"R16-81-20260114","first-page":"161","article-title":"R\u00e9conciliation et\/ou m\u00e9diation comme voies de recours en cas d\u2019abus sexuels sur mineurs au Cameroun","volume":"59","author":"Mbassa Menick","year":"1999","journal-title":"Med Trop"},{"key":"R17-81-20260114","doi-asserted-by":"crossref","first-page":"e03815","DOI":"10.1016\/j.heliyon.2020.e03815","article-title":"The extent of child sexual abuse in Botwana: hidden in plain sight","volume":"6","author":"Ramabu","year":"2020","journal-title":"Heliyon"},{"key":"R18-81-20260114","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/1471-2431-14-128","article-title":"Anal signs of child sexual abuse: a case\u2013control study","volume":"14","author":"Hobbs","year":"2014","journal-title":"BMC Pediatr"},{"key":"R19-81-20260114","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/02724930120077871","article-title":"Anal injury and fissure-in-ano from sexual abuse in children","volume":"21","author":"Ameh","year":"2001","journal-title":"Ann. 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