2 research outputs found
A 10 years review of statutory rape cases in HUSM (Retrospective study 2005-2014)
Get PDFObjective: To analyse the demographic data, genital injury, physical and psychological impact among statutory rape survivors aged 10-15 years old, treated in Hospital Universiti Sains Malaysia (HUSM) One Stop Crisis Centre (OSCC) from 2005-2014.
Design: Descriptive study, retrospective data collection
Material and method: 380 cases were selected randomly from 616 cases of statutory rape treated in HUSM from year 2005-2014, and all important data such as victims’ and assailants’ profile, sexual assault characteristics, findings during physical examination, laboratory results and psychological impact on survivors were documented and analysed.
Results: All 380 patients were Malay, and majority of the patients were 15 years old (44.2%). 207 patients (45.5%) had previous sexual exposure; either consented sexual intercourse (86.5%) or previous rape (13.5%). Majority of the victims were raped by known assailants, which was seen in 207 cases (85.2%), and 9.6% were incest. 81% of the cases involved single assailants, followed by 14% being raped by ≥ 3 assailants. All the victims had vaginal penetration, 40.5% had finger penetration, 13.9% had forced oral sex on the assailants and 3.9% had anal penetration.
Genital injury prevalence was 94.2%, with multiple genital injury recorded in 85% of the patients. Factors that were associated with multiple genital injuries were unconsented sexual intercourse / rape (p=0.026) age 13-15 years old (p=0.05) and forced oral sex on the assailants (p=0.029).
The commonest type of genital injury was tear (79.4%) and hymen was found to be the commonest site of injury among the victims (79.2%). VDRL was reactive in 0.5% of the patients, and no incidence of N.Gonorhoea infection was recorded. 15 patients (3.9%) were pregnant, with majority of the patients were in the third trimester (40%). 61 patients (16%) were diagnosed with psychiatric disorders, and Acute stress disorders recorded to be the highest frequency found among the patients (6.32%).17 patients (28%) with psychiatric disorders were started on treatment and were under psychiatric follow-up.
Conclusion: Majority of the patients were sexually abused by known assailants, and sustained multiple genital injury. The prevalence of pregnancy and STI were low, whereas psychiatric disorders were diagnosed in 16% of the patients
Peritoneal Tuberculosis Mimicking Ovarian Malignancy
Get PDFPeritoneal tuberculosis is an uncommon site of extrapulmonary infection caused by Mycobacterium tuberculosis (TB). It occurs mostly in immunocompromised patients such as malignancy, elderly or renal failure patients. We present a case of pelvic TB which appear to mimic an ovarian malignancy with acute onset of ascites. A 59 years old, para 3 presented with 2 weeks history of abdominal ascites with ovarian tumour. Ovarian cancer was suspected. Total abdominal bilateral salpingo-oophorectomy was performed. Histo pathology confirmed TB. She was started with an-TB therapy, she was improved after 2 weeks of therapy and she is well until now. Peritoneal TB is a rare condition which can mimick ovarian malignancy or peritoneal malignancy, especially in patient without pulmonary manifestation and negative TB investigations. This will cause dilemma in diagnosis hence delay in management.
