Rectal necrosis in the setting of critical illness and burn
Gregory P Mouradian1, Zoe Lake1, Robert Winfield1
1The University of Kansas Medical Center, Department of Surgery, 3901 Rainbow Blvd, Mail Stop 2005, Kansas City, KS 66160, USA.
Abstract:
The rectum is an anatomically protected and well vascularized structure. Injury to the rectum is usually the result of penetrating perineal mechanisms or reported scalding enemas. Here, we report a case of isolated rectal necrosis following a 72 % total body surface area burn that resulted from a motor vehicle crash. The patient's rectal injury was managed with open resection, left in discontinuity and ultimately expired. In presenting this case, we hope to share an unusual development in a patient with critical illness and guide future care.
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