Background: Child sexual abuse is a major worldwide health and social problem that harming millions of children in all communities across different cultures and socioeconomic backgrounds.
Objective: To analyze the recorded cases of alleged child sexual abuse in the Alexandria Governorate in the Arab Republic of Egypt in 2020.
Patients and Methods: our work gathered data prospectively from 139 alleged child sexual abuse cases referred to the Forensic Medicine Authority, Alexandria Governorate in Egypt for one year. Data were collected and statistically studied.
Results: female were assaulted more than males and the most assaulted victims were of adolescent age. Male victims predominate in preschool and school age while females in adolescent age predominate. Second Almontazah and East districts showed a high incidence of sexual assault than other districts. Summer time had the highest rate of exposure to sexual assault assailant home was the most chosen place to sexual offences. Assailant was often a friend. Only 55 of alleged cases had positive findings. Positive findings were seen in 39; 71% of females while it is 16; 29%.in males. As victim age increased, more findings were seen with least findings in preschool age. The commonest type of general body injury in sexual assault cases were bruises and abrasions and the least seen injury were cut and lacerated injuries.
Conclusion: female were assaulted more than males and the most assaulted victims were of adolescent age and second Almontazah and East districts showed a high incidence of sexual assault than other districts.