Abstract:
:We present the case of a 3.5-year-old boy with sudden anal blood loss at school. Sexual abuse was suspected, and, apart from anal fissures seen on sigmoidoscopy, no other clinical signs of any sort of disorder were present. As no medical explanation for the blood loss could be given, penetrating anal trauma was suggested. During follow-up consultations, there were complaints of occasional blood loss. Platelet aggregation tests and electron microscopy finally helped diagnose a delta-storage pool disease which is a rare haemostatic disorder involving the dense granules of the platelets. Although exclusion of well-known blood diseases through routine laboratory testing is a common practice in children with sudden blood loss, this case illustrates the value of more specialised investigation both from a diagnostic and forensic point of view.
journal_name
Int J Legal Medjournal_title
International journal of legal medicineauthors
De Munnynck K,Van Geet C,De Vos R,Van de Voorde Wdoi
10.1007/s00414-005-0053-ysubject
Has Abstractpub_date
2007-01-01 00:00:00pages
44-7issue
1eissn
0937-9827issn
1437-1596journal_volume
121pub_type
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journal_title:International journal of legal medicine
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journal_title:International journal of legal medicine
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