Unusual extraperitoneal rectal injuries: a retrospective study

  • M. Gümüş
  • A. Böyük
  • M. Kapan
  • A. Onder
  • F. Taskesen
  • İ. Aliosmanoğlu
  • A. Tüfek
  • M. Aldemir
Original Article

DOI: 10.1007/s00068-011-0163-9

Cite this article as:
Gümüş, M., Böyük, A., Kapan, M. et al. Eur J Trauma Emerg Surg (2012) 38: 295. doi:10.1007/s00068-011-0163-9
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Abstract

Purpose

Rectal injuries, which are rarely encountered because of the anatomic characteristics, occur due to penetrating traumas. In the current study, we aimed to present experiences gleaned from our clinic concerning rarely encountered unusual rectal injuries, including those cases presented for the first time.

Methods

Eleven patients who had been treated for unusual rectal injuries in the General Surgery Clinic of Dicle University between 2004 and 2011 were retrospectively reviewed.

Results

The reasons for rectal injuries included foreign bodies in four cases, sexual intercourse in three cases, iatrogenic injuries in two cases, electric shock in one case, and animal horns in one case. All cases had extraperitoneal rectal injuries and all injuries were grade 2 injuries, except for the electrical burn. Primary repair was adequate for the treatment of six patients. Four patients underwent primary repair and ostomy, whereas one of the patients underwent debridement and an ostomy. The patients recovered without complications, except for one patient with sphincter insufficiency.

Conclusion

The results of the current study suggested that primary repair is adequate in the patients with low-energy injuries and early presentation, whereas an ostomy is required for those with late presentation and for those with high-energy and destructive injuries.

Keywords

Rectum Injuries and wounds Trauma 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • M. Gümüş
    • 1
  • A. Böyük
    • 1
  • M. Kapan
    • 1
  • A. Onder
    • 1
  • F. Taskesen
    • 1
  • İ. Aliosmanoğlu
    • 1
  • A. Tüfek
    • 2
  • M. Aldemir
    • 1
  1. 1.Department of General Surgery, Faculty of MedicineDicle UniversityDiyarbakirTurkey
  2. 2.Department of Anesthesiology and Reanimation, Faculty of MedicineDicle UniversityDiyarbakirTurkey

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