{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:06:41Z","timestamp":1786118801435,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Sexual abuse of children is prevalent in today's society. In 2012, approximately 686,000 children (9.2 per 1000) in the United States were determined to be victims of substantiated child abuse and neglect, according to national data compiled by child protective service agencies; victimization rates were highest for children younger than 1 year. Nearly 9.3% of maltreated children were victims of sexual abuse, this finding was reported by US Department of Health and Human Services (http:\/\/www.acf.hhs.gov\/programs\/cb\/research-data-technology\/statistics-research\/child-maltreatment). Previous research has shown that as many as 1 in 3 girls and 1 in 7 boys will be sexually abused during childhood (\n                    <jats:italic toggle=\"yes\">Child Abuse Negl<\/jats:italic>\n                    . 2003;27:1205\u20131222). Although sexual abuse seems to be less common in boys than girls, this may be partly due to underdiagnosis and underreporting of sexual abuse in boys (\n                    <jats:italic toggle=\"yes\">Arch Dis Child<\/jats:italic>\n                    . 2007;92:328\u2013331). Clinicians should therefore consider the possibility of sexual abuse when boys present with genital injuries, because failing to recognize and diagnose sexual abuse can pose an ongoing safety risk to a child. However, an erroneous diagnosis of sexual abuse can have equally hazardous repercussions, including removal of a child from their caregivers or prosecution of an innocent individual. A number of medical conditions can mimic child sexual abuse injuries, including anal fissures, failure of midline fusion, perianal streptococcal dermatitis, and straddle injury (\n                    <jats:italic toggle=\"yes\">J Pediatr Health Care.<\/jats:italic>\n                    2009;23:283\u2013288 and\n                    <jats:italic toggle=\"yes\">Acta Paediatr.<\/jats:italic>\n                    2011;100:590\u2013593). The following case involves a 5-week-old male infant who presented to the pediatric emergency department with an avulsion injury to his penis concerning for sexual abuse. He was ultimately diagnosed with a relatively rare anatomic variant of the genitalia and determined to have sustained an accidental injury whose appearance mimicked abuse.\n                  <\/jats:p>","DOI":"10.1097\/pec.0000000000000524","type":"journal-article","created":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T11:33:39Z","timestamp":1443699219000},"page":"265-267","source":"Crossref","is-referenced-by-count":2,"title":["Child Abuse Mimic"],"prefix":"10.1097","volume":"33","author":[{"given":"Stephanie Anne","family":"Deutsch","sequence":"first","affiliation":[{"name":"From the *Division of General Pediatrics, \u2020Urology, and \u2021General Pediatrics and Policy Lab, Perelman School of Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Long","sequence":"additional","affiliation":[{"name":"From the *Division of General Pediatrics, \u2020Urology, and \u2021General Pediatrics and Policy Lab, Perelman School of Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun K.","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"From the *Division of General Pediatrics, \u2020Urology, and \u2021General Pediatrics and Policy Lab, Perelman School of Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne N.","family":"Wood","sequence":"additional","affiliation":[{"name":"From the *Division of General Pediatrics, \u2020Urology, and \u2021General Pediatrics and Policy Lab, Perelman School of Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20231023","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.pedhc.2008.05.003","article-title":"Common conditions that mimic findings of sexual abuse","volume":"23","year":"2009","journal-title":"J Pediatr Health Care"},{"key":"bib2-20231023","doi-asserted-by":"crossref","first-page":"2559","DOI":"10.1100\/2011\/238519","article-title":"Inconspicuous penis","volume":"11","year":"2011","journal-title":"Scientific World Journal"},{"key":"bib3-20231023","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1016\/j.urology.2007.01.065","article-title":"Surgical approach to concealed penis: technical refinements and outcome","volume":"69","year":"2007","journal-title":"Urology"},{"key":"bib4-20231023","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/S0022-5347(17)60048-X","article-title":"Webbed penis","volume":"111","year":"1974","journal-title":"J Urol"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/S0022-5347(17)44837-3","article-title":"Surgical correction of the buried penis: description of a classification system and a technique to correct the disorder","volume":"136","year":"1986","journal-title":"J Urol"},{"key":"bib6-20231023","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1136\/adc.2006.111195","article-title":"Genital injuries in boys and abuse","volume":"92","year":"2007","journal-title":"Arch Dis Child"},{"key":"bib7-20231023","first-page":"95","article-title":"Pediatric male rectal and genital trauma: accidental and nonaccidental injuries","volume":"14","year":"1999","journal-title":"Pediatr Emerg Care"},{"key":"bib8-20231023","first-page":"E191","article-title":"Zip-related genital injury","volume":"112","year":"2013","journal-title":"BJU Int"},{"key":"bib9-20231023","first-page":"288","article-title":"Pediatric genitourinary injuries in the United States from 2002 to 2010","volume":"189","year":"2012","journal-title":"J Urol"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00006565-201704000-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T17:00:48Z","timestamp":1786035648000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00006565-201704000-00010"}},"subtitle":["Avulsion Injury in a Child With Penoscrotal Webbing"],"short-title":[],"issued":{"date-parts":[[2017,4]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000524","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,4]]}}}