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Unusual extraperitoneal rectal injuries: a retrospective study
1Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
Summary
Unusual rectal injuries, though rare, can result from various causes. Primary repair is often sufficient for low-energy injuries, but severe cases may necessitate an ostomy for successful treatment.
Area of Science:
- General Surgery
- Trauma Care
Background:
- Rectal injuries are uncommon due to anatomical factors.
- Penetrating trauma is a primary cause of rectal injuries.
Purpose of the Study:
- To present clinical experiences with rare rectal injuries.
- To document unusual cases of rectal trauma.
Main Methods:
- Retrospective review of 11 patients treated for unusual rectal injuries.
- Data collected from 2004 to 2011 at Dicle University General Surgery Clinic.
Main Results:
- Causes included foreign bodies, sexual intercourse, iatrogenic factors, electric shock, and animal horns.
- All injuries were extraperitoneal and grade 2, except for an electrical burn.
- Six patients treated with primary repair; four with primary repair and ostomy; one with debridement and ostomy.
Conclusions:
- Primary repair is adequate for low-energy, early-presenting rectal injuries.
- Ostomy is indicated for late presentation or high-energy, destructive injuries.
