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Assessment of the Rectum and Anus

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.
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Esophageal Perforation-I: Introduction

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The location of esophageal perforation can vary, occurring anywhere along the esophagus.

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Appendicitis

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Intestinal Obstruction I: Introduction

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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...

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Esophageal Perforation-II: Clinical Manifestations and Management

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Clinical Manifestations:

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Related Experiment Video

Updated: May 7, 2026

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

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

Published on: June 13, 2025

Anorectal avulsion: an exceptional rectal trauma.

Karim Ibn Majdoub Hassani¹, Said Ait Laalim, El Bachir Benjelloun

¹Department of Surgery, School of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893; Km2,200, Route de Sidi Hrazem, Fez 30000, Morocco. ibnmajdoubkarim@gmail.com.

World Journal of Emergency Surgery : WJES

|October 8, 2013

Summary

Anorectal avulsion is a rare rectal injury. This case report details a complex avulsion treated with primary repair and colostomy, followed by anal stenosis requiring dilatations.

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Last Updated: May 7, 2026

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

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

Published on: June 13, 2025

Area of Science:

Trauma Surgery
Colorectal Surgery
Emergency Medicine

Background:

Anorectal avulsion is an exceptional rectal trauma.
It involves the anus and sphincter detaching from the perineum and migrating ventrally with the levator ani muscles.
This severe injury requires prompt surgical management.

Purpose of the Study:

To present a rare case of complete complex anorectal avulsion in a young adult.
To discuss the management strategy and outcomes.
To highlight the potential complications of this rare injury.

Main Methods:

A 29-year-old patient with pelvic trauma presented with complete complex anorectal avulsion.
Surgical management included primary rectal repair and a diverting colostomy to prevent sepsis.
The colostomy was closed seven months post-injury.

Main Results:

The patient developed anal stenosis after colostomy closure, necessitating iterative dilatations.
The primary repair and diverting colostomy were crucial in preventing sepsis.
Long-term follow-up revealed a significant complication requiring further intervention.

Conclusions:

Complete complex anorectal avulsion is a rare but severe injury.
Prompt surgical intervention with primary repair and diverting colostomy is essential for managing sepsis.
Anal stenosis is a potential long-term complication requiring diligent management.