Gökmen KarabağSelma SaraçAbdülkadir GençHalil TANRIVERDİUfuk AkınMehmet YAVUZ2024-07-242024-07-2420181306-696Xhttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/23497The reported rate of sex crimes, some of the most severe acts of violence that can be perpetrated against an individual, is increasingacross all societies, regardless of gender or age of the victim. Sexual abuse has been defined, in part, as the involvement of a child insexual activity for which they are incapable of giving consent, that they cannot fully comprehend, or for which they are developmentallyimmature. Molestation of the anorectal region is frequently encountered when the victim of sexual abuse is a male child. Tendernessaround the anus, ecchymosis, and detachment in the anal sphincter and rectum mucosa may be observed in the acute examination ofchildren who have been subjected to aggravated sexual abuse; however, injuries related to the anus or the rectum may also occur asa result of an accident. An 11-year-old male patient was referred from another health center with a report of being at risk of death.The injury that was said to be the result of accidentally sitting on a knife. An examination in the lithotomy position revealed perianalecchymosis, a superficial laceration at 1 and 6 o’clock, and a deep laceration at 7 o’clock. Based upon a suspicion of sexual abuse,anal and rectal swab specimens were obtained. The pediatric surgery department performed a primary repair of the lacerations. Themicroscopic examination of the swab specimens revealed cells showing sperm morphology, and therefore the appropriate forensicstatements were made and the swab specimens were sent to the judicial authority for genetic analysis. This report emphasizes theimportance of the awareness of physicians regarding the prompt collection and submission of potentially evidential biological samplesin a case of suspected sexual abuse though it may be presented as an accident.engOlgu Sunumu10.5505/tjtes.2018.60063