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A Rare Case of Anorectal Injury with Ruptured Bladder and Rectum but Normal Anal Sphincter | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

A Rare Case of Anorectal Injury with Ruptured Bladder and Rectum but Normal Anal Sphincter

Mahmoud Aghaei Afshar1*, Foroogh Mangeli2 and Akram Nakheai2
1Department of Surgery, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
2School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Corresponding Author : Mahmoud Aghaei Afshar
Department of Surgery, Shahid Bahonar Hospital
Kerman, P.O. Box: 13185-1678, Tehran, Iran
Tel: +9821 66439463
Fax: +9821 66423304
E-mail: [email protected]
Received September 07, 2012; Accepted September 26, 2012; Published September 28, 2012
Citation: Afshar MA, Mangeli F, Nakheai A (2012) A Rare Case of Anorectal Injury with Ruptured Bladder and Rectum but Normal Anal Sphincter. J Clin Case Rep 2:204. doi:10.4172/2165-7920.1000204
Copyright: © 2012 Afshar MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Anorectal injuries are rare in children. These injuries mostly occur with two major mechanisms; 1) sexual abuse, and 2) penetrating trauma. Coincident injury of rectum and bladder following anorectal trauma has been rarely reported. Here, we describe an anorectal injury in a 15-year-old boy due to falling off a tree leading to anorectal trauma by a stick. After the trauma, the patient experienced hematuria and generalized abdominal pain and tenderness. In anal area inspection, anal sphincter was intact and there were no evidences of trauma. The patient underwent anoscopy and exploratory laparotomy and omentum was extruded. The patient was treated by repair of lacerations and retraction of omentum.

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