Anorectal avulsion is an exceptional rectal trauma. In this kind of lesions, the anus and the sphincter no longer join the perineum and are pulled upward. We present a case of 34-years-old patient who was admitted because of a pelvic-perineal trauma, presenting a partial anorectal avulsion, exposed femoral fracture with thigh's lacerated-contused wound. Our treatment included primary plastic of the internal anal sphincter with replanting of the rectum on the anal canal and a diverting loop sigmoid colostomy (SCS), so as to prevent sepsis. Closure of the protective SCS was performed four months after the trauma.

Perineal trauma with anal avulsion. Case report / Assenza, M.; Ciccarone, F.; Santillo, S.; Mazzarella, G.; De Meis, E.; Bracchetti, G.; Ballanti, C.; La Torre, F.. - In: LA CLINICA TERAPEUTICA. - ISSN 1972-6007. - 170:1(2020), pp. e1-e6. [10.7417/CT.2020.2180]

Perineal trauma with anal avulsion. Case report

Assenza M.
;
Santillo S.;Mazzarella G.;Ballanti C.;La Torre F.
2020

Abstract

Anorectal avulsion is an exceptional rectal trauma. In this kind of lesions, the anus and the sphincter no longer join the perineum and are pulled upward. We present a case of 34-years-old patient who was admitted because of a pelvic-perineal trauma, presenting a partial anorectal avulsion, exposed femoral fracture with thigh's lacerated-contused wound. Our treatment included primary plastic of the internal anal sphincter with replanting of the rectum on the anal canal and a diverting loop sigmoid colostomy (SCS), so as to prevent sepsis. Closure of the protective SCS was performed four months after the trauma.
2020
Anorectal avulsion; Fecal incontinence evaluation; Perineal trauma; Primary treatment; Sigmoid colostomy; Adult; Anal Canal; Anorectal Malformations; Colostomy; Humans; Male; Perineum; Rectum; Rome; Sigmoid Diseases; Treatment Outcome
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Perineal trauma with anal avulsion. Case report / Assenza, M.; Ciccarone, F.; Santillo, S.; Mazzarella, G.; De Meis, E.; Bracchetti, G.; Ballanti, C.; La Torre, F.. - In: LA CLINICA TERAPEUTICA. - ISSN 1972-6007. - 170:1(2020), pp. e1-e6. [10.7417/CT.2020.2180]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1438264
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