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Case Reports
. 2019 Jul 19:23:100224.
doi: 10.1016/j.tcr.2019.100224. eCollection 2019 Oct.

Conservative management of a traumatic non-destructive grade II extraperitoneal rectal injury following motor vehicle collision

D Karadimos  1 , O Aldridge  1 , T Menon  1
Affiliations
Case Reports

Conservative management of a traumatic non-destructive grade II extraperitoneal rectal injury following motor vehicle collision

D Karadimos et al. Trauma Case Rep. .

Abstract

Rectal injuries are rare sequelae of blunt force abdominal trauma and are notorious for delayed recognition with resulting high morbidity and mortality. The management of traumatic colorectal injury is mired in old dogma and until recently mandated faecal diversion. Here we present a case of extraperitoneal rectal perforation successfully managed conservatively following blunt trauma.

Keywords: Abdominal trauma; Conservative management; Extraperitoneal rectal injury; PR bleeding.

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Figures

Fig. 1
Fig. 1
Gas contained in soft tissue anterior to rectum (arrow)
Fig. 2
Fig. 2
Contained gas at level of oesophageal hiatus (arrow).
Fig. 3
Fig. 3
Contained gas tracking up small bowel mesentery (arrows).
Fig. 4
Fig. 4
Rectal perforation seen on flexible sigmoidoscopy.
See this image and copyright information in PMC

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