Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2013

Open Access 01-12-2013 | Review

Anorectal avulsion: an exceptional rectal trauma

Authors: Karim Ibn majdoub Hassani, Said Ait laalim, El Bachir Benjelloun, Imane Toughrai, Khalid Mazaz

Published in: World Journal of Emergency Surgery | Issue 1/2013

Login to get access

Abstract

Anorectal avulsion is an exceptional rectal trauma in which the anus and sphincter no longer join the perineum and are pulled upward. As a result, they ventrally follow levator ani muscles. We present a rare case of a 29-years old patient who was admitted in a pelvic trauma context; presenting a complete complex anorectal avulsion. The treatment included a primary repair of the rectum and a diverting colostomy so as to prevent sepsis. Closure of the protective sigmoidostomy was performed seven months after the accident and the evolution was marked by an anal stenosis requiring iterative dilatations.
Appendix
Available only for authorised users
Literature
1.
2.
Mathieson AJM, Mann TS: Rupture of the posterior urethra and avulsion of the rectum and anus as a complication of fracture of the pelvis. Brit J Surg. 1965, 52: 309-10.1002/bjs.1800520416.CrossRefPubMed
3.
Sharma D, Rahman H, Mandloi KC, Saxena A, Raina VK, Kapoor JP: Anorectal avulsion: an unusual rectal injury. Digestive Surg. 2000, 17: 193-194. PubMed: 10781991. 10.1159/000018831CrossRef
4.
Terrosu G, Rossetto A, Kocjancic E, Rossitti P, Bresadola V: Anal avulsion caused by abdominal crush injury. Tech in Coloproctology. 2011, 15: 465-468. [PubMed: 21556880]. 10.1007/s10151-011-0680-xCrossRef
5.
Rispoli C, Andreuccetti J, Iannone L: Anorectal avulsion: management of a rare rectal trauma. Int J Surg Case Rep. 2012, 3: 319-321. 10.1016/j.ijscr.2012.04.001.PubMedCentralCrossRefPubMed
6.
Gomesa RM, Kudchadkara J, Araujob E, Gundawarc T: Anorectal avulsion: report of a rare case of rectal injury, letter to the editor. Ann Gastroenterology. 2013, 26: 1.
7.
Velmahos GC, Gomez H, Falabella A, Demetriades D: Operative management of civilian rectal gunshot wounds: simpler is better. World J Surg. 2000, 24 (1): 114-118. PubMed: 10594214. 10.1007/s002689910021CrossRefPubMed
8.
Cleary RK, Pomerantz RA, Lampman RM: Colon and rectal injuries. Dis Colon and Rectum. 2006, 49 (8): 1203-1222. 10.1007/s10350-006-0620-y. PubMed: 16858663CrossRef
9.
Navsaria PH, Edu S, Nicol AJ: Civilian extraperitoneal rectal gunshot wounds: surgical management made simpler. World J Surg. 2007, 31 (6): 1345-1351. 10.1007/s00268-007-9027-1. PubMed: 17457641CrossRefPubMed
10.
Burch MD JM, Feliciano MD DV, Mattox MD KL: Colostomy and drainage for civilian rectal injuries: is that all?. Ann Surg. 1989, 209 (5): 600-610. 10.1097/00000658-198905000-00013. discussion 610-1CrossRef
11.
Gonzalez RP, Falimirski ME, Holevar MR: The role of presacral drainage in the management of penetrating rectal injuries. J Trauma. 1998, 45 (4): 656-661. 10.1097/00005373-199810000-00002. PubMed: 9783600CrossRefPubMed
12.
Armstrong RG, Schmitt HJ, Patterson LT: Combat wounds of the extraperitoneal rectum. Surgery. 1973, 74: 570-574. PubMed: 4729222PubMed
13.
Gonzalez RP, Phelan H, Hassan M, Ellis CN, Rodning CB: Is fecal diversion necessary for nondestructive penetrating extraperitoneal rectal injuries ?. J Trauma. 2006, 61 (4): 815-819. 10.1097/01.ta.0000239497.96387.9d.CrossRefPubMed
14.
Burch JM, Feliciano DV, Mattox KL: Colostomy and drainage for civilian rectal injuries: is that all?. Ann Surg. 1989, 209 (5): 600-610. 10.1097/00000658-198905000-00013.PubMedCentralCrossRefPubMed
15.
Ivatury RR, Licata J, Gunduz Y, Rao P, Stahl WM: Management options in penetrating rectal injuries. Am Surg. 1991, 57 (1): 50-55.PubMed
Metadata
Title
Anorectal avulsion: an exceptional rectal trauma
Authors
Karim Ibn majdoub Hassani
Said Ait laalim
El Bachir Benjelloun
Imane Toughrai
Khalid Mazaz
Publication date
01-12-2013
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2013
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-8-40

Other articles of this Issue 1/2013

World Journal of Emergency Surgery 1/2013 Go to the issue

Research article

Mean platelet volume as a potential prognostic marker in patients with acute mesenteric ischemia–retrospective study

Review

Cocaine-associated hemoperitoneum following atraumatic splenic rupture: a case report and literature review

Research article

Compliance to advanced trauma life support protocols in adult trauma patients in the acute setting

Research article

Early recognition of acute thoracic aortic dissection and aneurysm

Research article

Endoscopic obstruction is associated with higher risk of acute events requiring emergency operation in colorectal cancer patients

Reviewer acknowledgement

Reviewer Acknowledgement 2012