Colorectal laceration after manual-anal intercourse

Area of Science:

• Colorectal surgery
• Sexual health
• Trauma care

Background:

• Changing sexual behaviors are increasingly associated with injuries and illnesses.
• The practice of
• handballing
• predominantly in the homosexual community, poses a risk for colorectal trauma.

Observation:

• A 31-year-old man presented with an acute abdomen.
• The patient's condition was caused by a colorectal laceration.
• The injury was secondary to the practice of handballing.

Findings:

• Handballing can lead to occult but serious colorectal trauma.
• The patient underwent emergency surgical repair for a colorectal laceration.
• The patient experienced an uneventful recovery and subsequent colostomy closure.

Implications:

• Healthcare providers should be aware of potential colorectal injuries related to specific sexual practices.
• Early diagnosis and surgical intervention are crucial for managing handballing-related trauma.
• This case highlights the importance of considering diverse etiologies for acute abdominal presentations.