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Intra peritoneal rectal tear: delayed presentation in a battered baby
P A Shah1, S K Pagare, V M Deshmukh
1Department of Surgery, L T M G H, Sion, Bombay.
Insights
A child experienced an acute abdomen after rectal spoon insertion. Surgical repair and a temporary colostomy led to recovery, highlighting the risks of foreign body insertion.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Trauma Care
Background:
- Foreign body insertion into the rectum is a rare but serious pediatric emergency.
- Forceful insertion can lead to significant rectal and colonic injury.
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes.
Observation:
- A two-and-a-half-year-old child presented with acute abdominal pain.
- Symptoms developed two days post-rectal spoon insertion.
- Clinical signs suggested a perforated viscus or severe rectal injury.
Findings:
- Surgical exploration revealed a rectal tear.
- The tear necessitated repair and a temporary sigmoid colostomy.
- Histopathological examination confirmed traumatic injury.
Implications:
- This case underscores the critical need for vigilance in managing pediatric rectal foreign bodies.
- Aggressive surgical management can lead to successful recovery.
- Prevention education for caregivers regarding safe practices is essential.
Abstract:
We report a two and a half year old child who presented with an acute abdomen two days after a spoon was forcefully inserted per rectum. The child recovered after repair of the rectal tear and a temporary sigmoid colostomy.