Rape victim in a difficult context

"An 18-year old woman is admitted with abdominal pain and vaginal bleeding. You are working in a place where the culture puts a very high value on virginity and her life may be at risk if she is known to have been sexually active, even where this has been due to rape. You are also aware that during the current conflict, sexual violence including rape has been used as a 'weapon' or tactic of war."