Related Experiment Videos

Rectovaginal injury in a young child. A case report

Julie S Platt1, Catherine M Lynch

  • 1Department of Obstetrics and Gynecology, College of Medicine, University of South Florida, Tampa, USA. mdpjsp@earthlink.net

The Journal of Reproductive Medicine
|December 23, 2003
PubMed

Insights

Severe rectovaginal injuries in children are medical emergencies requiring prompt evaluation. A diverting colostomy can significantly aid healing for these traumatic perineal lacerations.

Area of Science:

  • Pediatric Surgery
  • Trauma Management
  • Emergency Medicine

Background:

  • Rectovaginal injuries in children are uncommon but serious emergencies.
  • These injuries often result from trauma and can involve associated damage to the urethra, bladder, vaginal vault, or hollow viscera.

Observation:

  • A case study involving a child under 2 years old with a traumatic injury is presented.
  • Diagnostic workup included skeletal radiography, CT scans of the head, chest, abdomen, and pelvis, and a voiding cystourethrogram.
  • The identified injury was a fourth-degree perineal laceration.

Findings:

  • The wound was surgically debrided and closed in layers.
  • A diverting colostomy was implemented to facilitate wound healing.
  • Subsequent colonic anastomosis was performed after six weeks, following wound resolution.

Implications:

  • Thorough evaluation is crucial for diagnosing the extent of traumatic rectovaginal injuries in pediatric patients.
  • The use of a diverting colostomy is an effective strategy to enhance wound healing in these cases.
Abstract

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...