Anorectal avulsion: an exceptional rectal trauma

被引：4

作者：

Hassani, Karim Ibn Majdoub ^{[1
]}

Laalim, Said Ait ^{[1
]}

Benjelloun, El Bachir ^{[1
]}

Toughrai, Imane ^{[1
]}

Mazaz, Khalid ^{[1
]}

机构：

[1] Sidi Mohammed Ben Abdellah Univ, Sch Med & Pharm Fez, Dept Surg, Univ Hosp HASSAN 2, Fes 30000, Morocco

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2013年 / 8卷

关键词：

Anorectal avulsion; Rectal trauma; Surgical management; GUNSHOT WOUNDS; INJURIES; MANAGEMENT; DRAINAGE; SIMPLER;

D O I：

10.1186/1749-7922-8-40

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Anorectal avulsion is an exceptional rectal trauma in which the anus and sphincter no longer join the perineum and are pulled upward. As a result, they ventrally follow levator ani muscles. We present a rare case of a 29 years old patient who was admitted in a pelvic trauma context; presenting a complete complex anorectal avulsion. The treatment included a primary repair of the rectum and a diverting colostomy so as to prevent sepsis. Closure of the protective sigmoidostomy was performed seven months after the accident and the evolution was marked by an anal stenosis requiring iterative dilatations.

引用

页数：5

共 15 条

[1] ARMSTRONG RG, 1973, SURGERY, V74, P570
[2] COLOSTOMY AND DRAINAGE FOR CIVILIAN RECTAL INJURIES - IS THAT ALL
BURCH, JM
FELICIANO, DV
MATTOX, KL
[J]. ANNALS OF SURGERY, 1989, 209 (05) : 600 - 611
[3] Burch JM, 1989, ANN SURG, V209, P610
[4] Cintron JR, 2006, COLON RECTUM TRAUMA
[5] Colon and rectal injuries
Cleary, Robert K.
Pomerantz, Richard A.
Lampman, Richard M.
[J]. DISEASES OF THE COLON & RECTUM, 2006, 49 (08) : 1203 - 1222
[6] Gomesa RM, 2013, ANN GASTROENTEROLOGY, V26, P1
[7] Is fecal diversion necessary for nondestructive penetrating extraperitoneal rectal injuries?
Gonzalez, Richard. P.
Phelan, Herbert, III
Hassan, Moustaffa
Ellis, Neal
Rodning, Charles B.
[J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006, 61 (04): : 815 - 819
[8] The role of presacral drainage in the management of penetrating rental injuries
Gonzalez, RP
Falimirski, ME
Holevar, MR
[J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998, 45 (04) : 656 - 660
[9] IVATURY RR, 1991, AM SURGEON, V57, P50
[10] RUPTURE OF POSTERIOR URETHRA AND AVULSION OF RECTUM AND ANUS AS A COMPLICATION OF FRACTURE OF PELVIS
MATHIESON, AJ
MANN, TS
[J]. BRITISH JOURNAL OF SURGERY, 1965, 52 (04) : 309 - +

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