[Anal sphincter injury caused by falling off a trampoline]

Area of Science:

• Pediatric surgery
• Colorectal surgery
• Trauma surgery

Background:

• Preschool-aged children are susceptible to traumatic injuries.
• Rectal and anal sphincter injuries can result from severe blunt or penetrating trauma.
• Prompt surgical intervention is crucial for optimal outcomes in pediatric anorectal trauma.

Observation:

• A preschool-aged girl experienced a severe sphincter injury and rectal laceration after falling onto an iron bar.
• The injury occurred in a sitting position, impacting the terminal rectum and anal sphincters.
• Immediate surgical repair was performed the following morning.

Findings:

• Post-operative anal canal pressure measurements showed symmetrical readings with good sphincter contractile force one month after repair.
• Contrast studies and rectoscopy revealed no abnormalities in the anorectal structure.
• A protective stoma, created during surgery, was successfully closed after three months.

Implications:

• This case highlights the successful surgical management of severe pediatric sphincter and rectal injuries.
• Early surgical repair and follow-up are critical for restoring anal canal function and fecal continence.
• The findings support the efficacy of timely intervention in achieving long-term functional recovery in pediatric anorectal trauma.