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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Assessing Body Temperature - Rectal01:27

Assessing Body Temperature - Rectal

Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...

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Related Experiment Video

Updated: Jul 8, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
07:22

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Trans-anal rectal injuries.

Y I El-Ashaal1, A K Al-Olama, F M Abu-Zidan

  • 1Department of Surgery, Al-Ain Hospital, PO Box 1006, Al-Ain, United Arab Emirates.

Singapore Medical Journal
|January 22, 2008
PubMed
Summary

Diagnosing trans-anal rectal injuries is often delayed due to patient denial, with sexual assault being a potential cause. Colostomy is not always necessary for treatment.

Area of Science:

  • Trauma Surgery
  • Colorectal Surgery
  • Emergency Medicine

Background:

  • Trans-anal rectal injuries often present with delayed diagnosis due to patient factors like denial or shame.
  • Causes range from accidental falls and foreign bodies to sexual assault and improper medical procedures.
  • Delayed presentation complicates management and increases the risk of adverse outcomes.

Purpose of the Study:

  • To investigate the diverse causes, clinical presentations, and management strategies for trans-anal rectal injuries.
  • To evaluate the clinical outcomes associated with different treatment approaches.
  • To highlight the importance of considering sexual assault in cases of rectal trauma.

Main Methods:

  • Retrospective review of 12 patients treated for trans-anal rectal injuries between 1993 and 2006.

Related Experiment Videos

Last Updated: Jul 8, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
07:22

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

  • Analysis of injury causes, patient demographics, presentation times, injury locations, and clinical outcomes.
  • Comparison of complication rates between patients treated with colostomy versus primary repair.

    • Main Results:

    • Common causes included falls on sharp objects, rectal foreign bodies, compressed air, and sexual assault.
    • Most patients presented within 24 hours, but one sexual assault case presented after seven days.
    • Peritonitis and shock were common presenting signs; complication rates were higher with colostomy (p<0.02).

    Conclusions:

    • Delayed diagnosis of trans-anal rectal injuries is frequent, necessitating high clinical suspicion.
    • Sexual assault must be considered in the etiology of rectal trauma.
    • Primary repair may be a viable alternative to colostomy in select cases, with lower complication rates.