Case ReportsPhysical Findings Mimicking Sexual Abuse in a Drowning Patient Who Was Treated in the Intensive Care Unit A Report on a Fatal CaseSener, Mustafa Talip MD*; Vural, Talip MD*; Sahpaz, Ahmet MD†Author Information From the *Department of Forensic Medicine, Faculty of Medicine, Ataturk University; and †Erzurum Regional Center, The Council of Forensic Medicine, The Ministry af Justice, Erzurum, Turkey. Manuscript received March 30, 2018; accepted May 5, 2018. The authors report no conflict of interest. Reprints: Mustafa Talip Sener, MD, Department of Forensic Medicine, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey. E-mail: email@example.com. The American Journal of Forensic Medicine and Pathology: December 2018 - Volume 39 - Issue 4 - p 351-353 doi: 10.1097/PAF.0000000000000416 Buy Metrics Abstract Specific or nonspecific findings of sexual abuse may be observed upon examination of a child. Examination of the genital area is extremely important for the identification of child sexual abuse (CSA). However, medical conditions detected in the child's genital area may be misinterpreted as signs of CSA. Herein, we present a case of a child with suspected CSA who was treated in the intensive care unit. The following incidental findings were obtained upon anal examination: dilatation, ecchymosis, laceration, and hemorrhage. This report aims to discuss the anal examination findings that can mimic CSA. © 2018 by Lippincott Williams & Wilkins.