It became clear when researching @darkknight111's theory about Heather O'Rourke's cause of death that this topic is not discussed much among medical personnel, may be woefully underreported and may even be actively repressed. Think- suggested I turn my comment in his series into a separate research thread where we can collect reports of incidents of extreme internal trauma.

WARNING: This is not for the faint of heart. Very NSFW. It is sickening and rage inducing.

I did a cursory look for statistics and or medical treatment information on health complications related to child rape, and there wasn't much. Someone who knows a physician with better access to medical journals may be able to find more. Most relevant was this:

Am J Forensic Med Pathol. 2010 Sep;31(3):273-7. doi: 10.1097/PAF.0b013e3181e13269.

Fatal anorectal trauma in the setting of sexual assault: case report and literature survey.

_{Kovelman I1, Vey E, Schober J.}

_Abstract

Homicides exclusively due to genital trauma have not been widely reported, and anorectal trauma in sexual assaults is uncommon. We describe a case of a 45-year-old white woman who sustained devastating homicidal colorectal trauma that served as a primary cause of death in the setting of rape. Our patient sustained a 15-cm laceration of the anterior rectal wall and ultimately died of peritonitis and sepsis. Death from rectal perforation and sepsis in the setting of sexual assault is rare and has only been documented in 3 other cases, 2 pediatric patients and 1 elderly debilitated patient. Other representative and unique methods of perforation are reviewed along with a brief discussion of the development of peritonitis after perforating colorectal trauma.

Unfortunately, the article itself is behind a paywall. Other relevant information I found include:

• NSFW: A (disturbing) physician training document on examining child rape victims: https://www. aafp.org/afp/2001/0301/p883.html
• Medical journal article on Bacterial STD's: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2780056/
• An overview of the health impacts of child rape: https://www.inspq.qc.ca/en/sexual-assault/understanding-sexual-assault/consequences
• A meta review of long term health effects of childhood sexual abuse: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910944/

If anyone has the stomach to help me gather research here on this topic, especially anyone with a subscription that would allow them access to the medical journal quoted above, please add your findings to this thread. I feel this could be a powerful resource for future works of our researchers, especially in combating pedo normalization and child sexual consent. As I was scanning through Pubmed studies, I saw multiple statements about how physical trauma in child rape is rare and heals within days.