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2005, Number 6

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Cir Cir 2005; 73 (6)

Traumatic perforation of the anorectal canal

Baeza-Herrera C, Jiménez-González N, Osorio-Agüero CD, Nájera-Garduño HM, Sanjuán-Fabián H

Language: Spanish
References: 17
Page: 453-456
PDF size: 105.18 Kb.


ABSTRACT

Introduction: Traumatic perforation of the anorectal canal in children is relatively uncommon. There may be difficulties in recognizing or properly treating such injuries because their severity may not be reflected accurately by the external appearance of the perineum. Material and methods: This was a retrospective survey of 19 children with anorectal rupture injuries secondary to blunt trauma and perforating mechanisms.
Result: Sixteen (89.4%) were male and 15 (77.0%) suffered perforation after a fall on a sharp tool. All were admitted more than 12 hours after accident. Twelve (63.0%) had transanal extraperitoneal injuries and 13 (68.4%) patients underwent colostomy.
Conclusions:
The majority of these perforations are caused by falls at play. The current standard principles in the treatment of anorectal injuries in children are wound drainage, broad-spectrum antibiotics and frequently fecal diversion.


REFERENCES

  1. Unidad de Información. Dirección de Estadísticas Continuas. Defun-

  2. ciones ocurridas en el Distrito Federal 1978. Salud Pub Mex 1982;24: 131-188.

  3. 2. Fernández de-Hoyos RM. Cuáles son realmente las principales causas de defunción en México. Salud Pub Mex 1983;25:241-246.

  4. 3. Dowd MD, Fitzmaurice L, Knapp HC, et al. The interpretation of urogenital findings in children with straddle injuries. J Pediatr Surg 1994;29:7-10

  5. 4. Osorio AC. Traumatismo de uretra asociado a fractura pélvica. Reunión Nacional de Cirugía Pediátrica, Veracruz, Ver;2000.

  6. 5. Jona ZJ. Accidental anorectal impalement in children. Pediatr Emerg Care 1997;13:40-43.

  7. 6. Baeza HC. Carta al editor. Cir Ciruj 1997;65:25-26.

  8. 7. Stephens FD, Smith DE. Anorectal Malformations in Children. Chicago: Yearbook Publishers;1971. p. 15.

  9. 8. Baeza HC, Osorio CI, Rodríguez RM, Baeza MA. Trauma anorrectal en pediatría. Bol Med Hosp Infant Mex 1995;52:2-27.

  10. 9. Black TC, Pokorny JW, McGill WC, Harberg JF. Anorectal trauma in children. J Pediatr Surg 1982;17:501-504.

  11. 10. Slim SM, Makaroun M, Shamma RDA. Primary repair of colorectal injuries in childhood. J Pediatr Surg 1981;16:1008-101l.

  12. 11. Angel C, Shu T, French D, Orihuela E, et al. Genital and perineal burns in children: 10 years of experience at a major burn center. J Pediatr Surg 2002;37:99-103.

  13. 12. Grisoni RE, Hahn E, Marsh E, Volsko T, Dudgeon D. Pediatric peri-

  14. neal impalement injuries. J Pediatr Surg 2000;35:702-704.

  15. 13. Scheidler GM, Shultz LB, Schall L, Ford RH. Mechanisms of blunt perineal injury in female pediatric patients. J Pediatr Surg 2002; 35: 1317-1319.

  16. 14. Veiler HA, Zachariou Z, Daum R. Impalement and anorectal injuries in childhood: A retrospective study of 12 cases. J Pediatr Surg 1998; 33:1287-1291.

  17. 15. Reinberg O, Yazbek S. Major perineal trauma in children. J Pediatr Surg 1989;24:982-984.




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