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Complete anal sphincter complex disruption from intercourse: A case report and literature review
S O Cawich1, L Samuels, I Bambury
1Department of Surgery, University of the West Indies, Mona Campus, Kingston 7, Jamaica.
International Journal of Surgery Case Reports
|September 4, 2012
Summary
Complete anal sphincter disruption from anal intercourse is rare but serious. Prompt surgical repair without diversion is recommended for these low-energy injuries, leading to good outcomes.
Area of Science:
- Colorectal Surgery
- Trauma Surgery
- Gastroenterology
Background:
- Anal sphincter injuries are uncommon but can lead to severe complications.
- Receptive anal intercourse, particularly with alcohol use, is a risk factor for these injuries.
Purpose of the Study:
- To present a case of complete anal sphincter disruption from anal intercourse.
- To discuss clinical management and surgical repair principles for such injuries.
Main Methods:
- Case presentation of a 25-year-old woman with complete anal sphincter disruption.
- Detailed description of surgical repair techniques.
- Review of pertinent surgical principles for anal sphincter injury repair.
Main Results:
- The patient experienced an uneventful post-operative course.
- Good anal continence was achieved after 154 days of follow-up.
Conclusions:
- Acute post-coital sphincter injuries require emergent operative treatment.
- Primary repair without fecal diversion is generally recommended due to low energy and minimal tissue loss.
- Individualized repair is necessary, but protective colostomy is rarely required.
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