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Rectal Injury

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Pediatric Trauma Care

Abstract

Pediatric rectal injury can occur as a result of penetrating or blunt abdominal/pelvic trauma. The approach to, and management of, rectal injury depends on the precise location and extent of the injury. Knowledge of the anatomy of the rectum and the ability to identify the level of the injury guides management. This chapter provides an overview of the approach to suspected rectal injury in a pediatric trauma patient.

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References

  1. ATLS Subcommittee; American College of Surgeons’ Committee on Trauma; International ATLS working group. Advanced trauma life support (ATLS®). J Trauma Acute Care Surg. 2013;74(5):1363–6.

    Google Scholar 

  2. Goyal MK, Mollen CJ, Hayes KL, Molnar J, Christian CW, Scribano PV, Lavelle J. Enhancing the emergency department approach to pediatric sexual assault care: implementation of a pediatric sexual assault response team program. Pediatr Emerg Care. 2013;29(9):969–73.

    Article  Google Scholar 

  3. Shlamovitz GZ, Mower WR, Bergman J, Crisp J, DeVore HK, Hardy D, et al. Lack of evidence to support routine digital rectal examination in pediatric trauma patients. Pediatr Emerg Care. 2007;23(8):537–43.

    Article  Google Scholar 

  4. Osterberg EC, Veith J, Brown CVR, Sharpe JP, Musonza T, Holcomb JB, et al. Concomitant bladder and rectal injuries: Results from the American Association for the Surgery of Trauma Multicenter Rectal Injury Study Group. J Trauma Acute Care Surg. 2020;88(2):286–91.

    Article  Google Scholar 

  5. Gash KJ, Suradkar K, Kiran RP. Rectal trauma injuries: outcomes from the U.S. National Trauma Data Bank. Techniques. Tech Coloproctol. 2018;22(11):847–55.

    Article  CAS  Google Scholar 

  6. Choi PM, Wallendorf M, Keller MS, Vogel AM. Traumatic colorectal injuries in children: The National Trauma Database experience. J Pediatr Surg. 2017;52(10):1625–7.

    Article  Google Scholar 

  7. Brown CVR, Teixeira PG, Furay E, Sharpe JP, Musonza T, Holcomb J, et al. Contemporary management of rectal injuries at Level I trauma centers: The results of an American Association for the Surgery of Trauma multi-institutional study. J Trauma Acute Care Surg. 2018;84(2):225–33.

    Article  Google Scholar 

  8. Sharpe JP, Magnotti LJ, Fabian TC, Croce MA. Evolution of the operative management of colon trauma. Trauma Surg Acute Care Open. 2017;21:e000092.

    Article  Google Scholar 

  9. Stone HH, Fabian TC. Management of perforating colon trauma randomization between primary closure and exteriorization. Ann Surg. 1979;190(4):430–6.

    Article  CAS  Google Scholar 

  10. Swaid F, Peleg K, Alfici R, Olsha O, Givon A, Kessel B. A comparison study of pelvic fractures and associated abdominal injuries between pediatric and adult blunt trauma patients. J Pediatr Surg. 2017;52(3):386–9.

    Article  Google Scholar 

  11. Song W, Zhou D, Xu W, Zhang G, Wang C, Qiu D, et al. Factors of pelvic infection and death in patients with open pelvic fractures and rectal injuries. Surg Infect. 2017;18(6):711–5.

    Article  Google Scholar 

  12. Chappuis CW, Frey DJ, Dietzen CD, Panetta TP, Buechter KJ, Cohn I. Management of penetrating colon injuries a prospective randomized trial. Ann Surg. 1991;213(5):492–7.

    Article  CAS  Google Scholar 

  13. Haut ER, Nance ML, Keller MS, Groner JI, Ford HR, Kuhn A, et al. Management of penetrating colon and rectal injuries in the pediatric patient. Dis Colon Rectum. 2004;47(9):1526–32.

    Article  Google Scholar 

  14. Gonzalez RP, Falimirski ME, Holevar MR. The role of presacral drainage in the management of penetrating rectal injuries. J Trauma. 1998;45(4):656–61.

    Article  CAS  Google Scholar 

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Correspondence to Michael L. Nance .

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Mak, A.L., Nance, M.L. (2022). Rectal Injury. In: Kennedy Jr, A.P., Ignacio, R.C., Ricca, R. (eds) Pediatric Trauma Care . Springer, Cham. https://doi.org/10.1007/978-3-031-08667-0_25

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  • DOI: https://doi.org/10.1007/978-3-031-08667-0_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08666-3

  • Online ISBN: 978-3-031-08667-0

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