Related Experiment Video
Updated: Jun 29, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.9K
Perineal trauma with anal avulsion: case report
M Assenza1, F Ciccarone1, S Santillo1
1U.O.C. Chirurgia d'Urgenza e del Trauma, U.O.D. Pronto Soccorso Chirurgico. DEA Dipartimento Emergenza ed Accettazione. Azienda Ospedaliero-Universitaria Policlinico Umberto I, "SAPIENZA" Università di Roma, Italia.
La Clinica Terapeutica
|December 19, 2019
Summary
This case study details a rare anorectal avulsion injury. Treatment involved surgical repair and a temporary sigmoid colostomy to manage severe rectal trauma and prevent sepsis.
Area of Science:
- Trauma Surgery
- Colorectal Surgery
- Surgical Reconstruction
Background:
- Anorectal avulsion is a rare and severe rectal trauma.
- It involves the separation of the anus and sphincter from the perineum.
- Such injuries often result from significant pelvic-perineal trauma.
Observation:
- A 34-year-old patient presented with pelvic-perineal trauma.
- The patient had a partial anorectal avulsion, an exposed femoral fracture, and a thigh wound.
- This complex presentation required immediate surgical intervention.
Findings:
- The treatment included primary plastic repair of the internal anal sphincter.
- The rectum was successfully replanted onto the anal canal.
- A diverting loop sigmoid colostomy was created to prevent sepsis.
Implications:
- This case highlights a successful surgical approach for managing partial anorectal avulsion.
- Reconstructive surgery and temporary colostomy are crucial for preventing complications.
- Effective management can lead to favorable outcomes in complex anorectal trauma cases.
Related Concept Videos
01:26Muscles of the Pelvic Floor and Perineum
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
01:25Assessment 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.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...