Anus of a sexually abused little girl showing tears, bruising and laxity with normal hymen above. (Courtesy Dr. G.D. Oliver.)

Same child (supine position) 2 years later with a healed scar at the 6 o’clock position.

Perineal laceration through the hymen and posterior fossa with hematoma formation and surrounding bruising in a raped child. (Courtesy Dr. G.D. Oliver.)