ABSTRACT
Minor trauma and retained foreign bodies are the commonest emergency paediatric problems in gynaecology. Careful history and sensitive examination are crucial because of the immaturity and natural embarrassment of the patient. It is important to have a high index of suspicion for sexual abuse and if it is suspected a senior paediatric opinion should be sought. Gynaecology trainees should discuss the case with the consultant before undertaking an examination. Ideally, the girl should be examined by one senior doctor in order to keep distress to a minimum. It will also reduce the risk of forensic evidence being lost.
