PMC7569259_01
Anal abscess following child sexual abuse. 1A: Right inflammatory perianal swelling with anal yawning. 1B: Regression of lesions at postoperative day 12.
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On examination, the child had a temperature of 38.5  C with a tachycardia, right inflammatory and fluctuating perianal swelling, anal yawning and abrasions with preserved sphincters (Fig. 1A). Postoperative course was uneventful with a discharge at postoperative day five and a total regression of anal lesions (Fig. 1B).
PMC7569259_02
Fissure-in-ano following child sexual abuse. 1A: pre-operative view fissure-in-ano (black arrow) and permanent mucosal eversion. 1B: Immediate postoperative view. 1C: Good cosmetic result at postoperative day 12.
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The examination was remarkable of a permanent eversion of the anal mucosa with fissure (Fig. 2A). A surgical treatment was performed, consisting of a lateral sphincterotomy and an "U" mucosal anoplasty (Fig. 2B). Further follow-up showed a good cosmetic (Fig. 2C) and functional evolution with normal defecation.
PMC7569259_03
Complex perineal tear after child sexual abuse. 1A: pre-operative view an anal yawning with partial sphincter rupture, a partial section of the rectovaginal septum and vaginal yawning. 1B: Immediate postoperative view. 1C: Postoperative view at day 90.
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There was a complex perineal tear (Fig. 3A) including an anal yawning with partial sphincter rupture, a partial section of the rectovaginal septum, absence of hymen with vaginal yawning. The post-operative cosmetic result was good (Fig. 3A and B) as well as the functional one (2-3 stools per day).