Summary
A case in which a crushing injury to the pelvis resulted in complete loss of the anorectum, together with the levatores ani, is reported. Management of the patient, particularly the use of a reversed loop of ileum as a replacement for the anal sphincter and rectum, is described. Reports in the literature of crushing injuries to the pelvis which caused avulsion of the rectum are noted, and an explanation of the mechanism likely to be involved in avulsion and expulsion of the rectum is given.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Gabriel, W. B.: The Principles and Practice of Rectal Surgery. Ed. 3. Springfield, Illinois, Charles C Thomas, Publishers, 1946, p. 278.
Gordon Watson, C.: Three cases of injury to the rectum from bullet wounds. Proc. Roy. Soc. Med. (Surg. Sect.)9: 30, 1916.
Liscia, R., and G. Lucci: Le lesioni dei visceri dello scavo pelvico consequenti a fratture del bacino: Presentazione di un raro caso di lesione del retto. Arch. Ital. Chir.88: 229, 1962.
Mathieson, A. J. M., and T. S. Mann: Rupture of the posterior urethra and avulsion of the rectum and anus as a complication of fracture of the pelvis. Brit. J. Surg.52: 309, 1965.
Van Minh, T.: Personal communication to the author.
Author information
Authors and Affiliations
About this article
Cite this article
Tumolo, M.A. Complete loss of the anus and rectum due to crushing injury to the pelvis-treatment using a reversed ileal loop. Dis Colon Rectum 13, 34–38 (1970). https://doi.org/10.1007/BF02617682
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02617682