Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009:2009:bcr05.2009.1892.
doi: 10.1136/bcr.05.2009.1892. Epub 2009 Nov 18.

Combined penetrating injury of the perineum and abdominal viscera

Affiliations

Combined penetrating injury of the perineum and abdominal viscera

Guru P Painuly et al. BMJ Case Rep. 2009.

Abstract

This is a rare presentation. A farmer aged 52 years old was brought to the emergency service of Government District (Doon) Hospital in the late evening having significant bleeding per rectum. He had injured his perineum on a sharp wooden stick during a fall near a tube well. The wooden stick had been extracted by his relatives, which had resulted in profuse bleeding. The patient was managed with intravenous crystalloids and rushed to the operating theatre for examination under analgesia. Blood transfusion was arranged and the wound explored under general anaesthesia. The patient had unusual associated visceral injuries as well as sphincter, rectum, urinary bladder, ileal loop and mesentery injuries. The injured bowel, mesentery, urinary bladder and rectum were repaired with diversion of the upper pelvic colon. In addition, debridement of the perineal wound with rectal sphincter repair was performed and the presacral space drained. The colostomy was closed after 3 months, and the patient survived and is continent.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Direction of sharp object.

References

    1. Lippert H, Falkenberg B. Strategy and technique in perineal impalement injuries. Chirurg 2001; 72: 1402–6 - PubMed
    1. Ivatury RR, Licata J, Gunduz Y, et al. Management options in penetrating rectal injuries. Am Surg 1991; 57: 50–5 - PubMed
    1. Steinman E, Cunha JC, Branco PD, et al. Traumatic rectal injuries. Arq Gastroenterol 1990; 27: 120–5 - PubMed
    1. Brunner RG, Shatney CH. Diagnostic and therapeutic aspects of rectal trauma. Blunt versus penetrating. Am Surg 1987; 53: 215–9 - PubMed
    1. Stelzner F. Complex trauma of the perineum, especially the anorectal continence organ. Experiences and results in 27 patients 1956–1988. Langenbecks Arch Chir 1990; 375: 55–63 - PubMed

LinkOut - more resources