Perineal groove leading to a suspicion of child sexual abuse.

The child’s guardian, the grandmother discovered a red ulcer in the perineum of a two years and two months old baby girl during bathing. She did not remember excessive crying or blood in the baby’s clothes in the recent past but could not confidently exclude child abuse because drunken friends of her husband used to visit their house. Medical officers suspected anal penetration with a tear extending to the vulva.