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Case Reports
. 2021 May-Aug;9(2):190-194.
doi: 10.4103/sjmms.sjmms_242_20. Epub 2021 Apr 29.

Successful Management of Perineal Injury without Colostomy in a Pediatric Patient: A Case Report

Ibrahim Mohammed Al-Dossary  1 , Anwar Saeed AlZahrani  1 , Hossam Elshafei  1 , Hussah Mohammed Al-Buainain  1
Affiliations
Case Reports

Successful Management of Perineal Injury without Colostomy in a Pediatric Patient: A Case Report

Ibrahim Mohammed Al-Dossary et al. Saudi J Med Med Sci. 2021 May-Aug.

Abstract

Perineal trauma in children are rare, but they can be life-threatening and surgically challenging conditions in the absence of a standardized therapeutic approach. Colostomy remains important and plays an essential role in minimizing the frequency of perineal wound infections but has known complications. Here, we describe a case of a 7-year-old boy who was a victim of a road traffic accident polytrauma and sustained severe perineal injury. The patient was managed primarily without stoma creation and achieved complete wound healing and continence. This case highlights that selection of primary repair without colostomy must be meticulous and individualized.

Keywords: Colostomy; injury; management; pediatric; perineal; trauma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Lacerated wound measuring 10 cm with right iliac crest open fracture
Figure 2
Figure 2
Lacerated perineal wound (black arrow) (white arrow indicates the anal opening)
Figure 3
Figure 3
Right iliac crest fracture (black arrow). Iliacus hematoma with pocket of air (white arrow)
Figure 4
Figure 4
Subcutaneous air and muscular hematoma
Figure 5
Figure 5
Air within the perineal region extending to the penile shaft
Figure 6
Figure 6
Diagnostic laparoscopy showing extraperitoneal hematoma, intact peritoneum and no internal hemorrhage
Figure 7
Figure 7
Deep perineal laceration
Figure 8
Figure 8
(a) Healing wound, and (b) healed wound with continent sphincter
See this image and copyright information in PMC

References

    1. Hashish AA. Perineal trauma in children. Ann Pediatr Surg. 2011;7:55–60.
    1. Scheidler MG, Schultz BL, Schall L, Ford HR. Mechanisms of blunt perineal injury in female pediatric patients. J Pediatr Surg. 2000;35:1317–9. - PubMed
    1. Black CT, Pokorny WJ, McGill CW, Harberg FJ. Ano-rectal trauma in children. J Pediatr Surg. 1982;17:501–4. - PubMed
    1. Kaplanoglu M, Demirkıran DS, Karateke A, Arslan MM. Mechanism and treatment of genital injuries in pediatric and adolescent girls: Data from two regional centers in turkey. J Forensic Invest. 2014;2:3.
    1. Komlatsè Akakpo-Numado G. Anorectal traumas in children. J Neonatol Clin Pediatr. 2015;2:1–5.

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