Localized Intravascular Coagulopathy of Venous Malformation Involving the Labia as a Mimic of Child Sexual Abuse

Abstract

Given location and relative rarity, anogenital injuries in children often prompt concern for maltreatment. We present a case of localized intravascular coagulopathy as a complication of venous malformation, which mimicked abusive trauma leading to an evaluation for maltreatment. Comprehensive assessment identified the underlying medical cause. This case represents an example of the importance of objective assessment in unusual case presentations to ensure diagnostic accuracy, and appropriate direction of medical and child protection resources.