Management of Traumatic Injury to the Lower Rectum and Anal Sphincter Muscle Combined with Deep Perineal Laceration.
10.3393/jksc.2008.24.1.45
- Author:
Mi Ran JUNG
1
;
Ho Kun KIM
;
Min Ho PARK
;
Jae Kyun JU
;
Seong Yeob RYU
;
Young Kyu PARK
;
Hyeong Rok KIM
;
Dong Yi KIM
;
Young Jin KIM
Author Information
1. Department of Surgery, Chonnam National University Medical School, Gwangju, Korea. jjk9952@hanmail.net
- Publication Type:Case Report
- Keywords:
Rectal injury;
Anus trauma
- MeSH:
Anal Canal;
Colostomy;
Drainage;
Humans;
Lacerations;
Manometry;
Muscles;
Quality of Life;
Rectum
- From:Journal of the Korean Society of Coloproctology
2008;24(1):45-50
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although rare, traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration present substantial diagnostic and management challenges for surgeons. Between February 2004 and February 2006, six patients were treated for traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration at the Department of Surgery, Chonnam National University Hospital. All six patients underwent a diverting colostomy, primary repair, and presacral a drainage, but only three cases underwentva a sphincteroplasty. Three patients who underwent a sphincteroplasty had normal findings on anorectal manometry. Traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration have a high morbidity rate and a great influence on the quality of life. Thus, such injuries require aggressive management, and treatment modalities should be tailored to the individual case.
