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https://www.readbyqxmd.com/read/27749800/a-case-of-child-physical-abuse-with-a-rolling-pin-insertion-resulting-in-bladder-and-rectal-perforation
#1
Meda Kondolot, Selim Doganay, Cüneyt Turan, Hasim Asil, Didem B Oztop, Caglar Ozdemir
Visceral injuries are not uncommon in nonaccidental trauma and often require emergent operative intervention. However, sometimes it can be difficult to assess the extent of injury. In this report, we present a case of child physical abuse resulting in bladder and rectal perforations, which was initially referred to our hospital as acute abdomen with intraperitoneal free fluid on ultrasonography. An exploratory laparotomy revealed the perforations and surgical repair was performed. The patient was evaluated by the Hospital Child Protective team and it was revealed that bladder and rectum perforations were due to insertion of rolling pin into the rectum by the stepmother...
October 4, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27689515/presacral-retroperitoneal-hematoma-after-blunt-trauma-presents-with-rectal-bleeding-a-case-report
#2
Sanne Jensen Dich, Alaa El-Hussuna
INTRODUCTION: We present a case of a presacral hematoma, which penetrated into the rectum resulting in rectal bleeding. This is an unusual presentation of a presacral hematoma. PRESENTATION OF THE CASE: A 76-year-old woman, using warfarin anticoagulant prophylaxis, presented with a rectal bleed two days after a fall. A sigmoidoscopy revealed that the source of bleeding was a presacral hematoma penetrating into the rectum. A Computed Tomography scan of the pelvis confirmed the presence of a hematoma measuring 10×9...
September 22, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27603349/successful-repair-of-recurrent-rectovaginal-fistula-by-stratified-suture-using-transanal-endoscopic-microsurgery-a-care-compliant-case-report
#3
Weijie Chen, Xin Chen, Guole Lin, Huizhong Qiu
BACKGROUND: Rectovaginal fistulas (RVFs) are abnormal connections between the rectum and vagina. Although many surgical approaches to correct them have been attempted, management of RVFs still remains a challenge, especially for recurrent RVFs. METHODS: In the present study, we report a case in a 22-year-old female with a chief complaint of obvious passages of flatus or stool through the vagina for 10 years. She had suffered a vaginal trauma from a violent accident 10 years prior, and gradually noticed the uncontrollable passage of gas or feces from the vagina 2 weeks later...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27599704/rectal-prolapse-traumatizes-rectal-neuromuscular-microstructure-explaining-persistent-rectal-dysfunction
#4
Matthias Kraemer, Werner Paulus, David Kara, Saskia Mankewitz, Stephanie Rozsnoki
PURPOSE: Internal rectal prolapse is common and correlates with age. It causes a plug-like physical obstruction and is a major cause of defecation disorder. The progressive distortion of the prolapsing rectum likely causes secondary defects in the rectal wall, which may exacerbate rectal dysfunction. We undertook a prospective observational study to detect and quantify the neurologic and histopathologic changes in the rectal wall. METHODS: We examined dorsal and ventral rectal wall specimens from consecutive patients with internal rectal prolapse undergoing stapled transanal rectal resection (STARR)...
September 6, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27437297/a-case-of-recto-vesico-cutaneous-fistula-following-perineal-injury-by-wild-boar
#5
Pravin D Bhingare, Umesh Ravikant Shelke, Yogesh A Bang
It is very uncommon for a boar to become aggressive in nature against human unless they are cornered. A wild boar attacked a 24-year-old male from behind in perineal region. At presentation, he had continuous dribbling of urine and fecal matter from perineal wound. On CT-scan, a well defined tract delineated by contrast was seen between postero-lateral aspect of bladder and anterior wall of rectum, and there was contrast extravasation through perineal wound. After resuscitation, fistula was repaired through abdominal approach, and perineal wound was debrided...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27200319/delayed-retropneumoperitoneum-following-vaginal-laceration-in-a-7-year-old-girl
#6
Kyung-Jin Min, Hyesook Im, Sanghoon Lee, Jin Hwa Hong, Jae-Yun Song, Jae-Kwan Lee, Nak Woo Lee
We describe an unusual case of delayed retropneumoperitoneum caused by a deep vaginal laceration as a result trauma from a water jet in a fountain. A 7-year-old premenarcheal girl presented to the emergency department after experiencing an injury from a water jet at a fountain park. Initially, the patient's vital sign and perineum were within normal range. Because the patient's vital signs became unstable 12 hours after vaginal injury, we carried out abdomino-pelvic computed tomography resulting in retropneumoperitoneum...
May 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27193985/high-velocity-missile-related-colorectal-injuries-in-theatre-application-of-injury-scores-and-their-effects-on-ostomy-rates
#7
Şahin Kaymak, Aytekin Ünlü, Ali Harlak, Nail Ersöz, Rahman Şenocak, Ali Kağan Coşkun, Nazif Zeybek, Emin Lapsekili, Orhan Kozak
BACKGROUND: Treatment of colorectal injuries (CRIs) remains a significant cause of morbidity and mortality. The aim of the present study was to analyze treatment trends of Turkish surgeons and effects of the American Association for the Surgery of Trauma (AAST), Injury Severity (ISS), and Penetrating Abdominal Trauma Index (PATI) scoring systems on decision-making processes and clinical outcomes. METHODS: Data regarding high velocity missile (HVM)-related CRIs were retrospectively gathered...
March 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27033375/-emergencies-of-the-external-genital-area
#8
A Kaminsky, H Sperling
BACKGROUND: In addition to epididymitis and testicular torsion, emergencies of the external genital are rare. Rapid diagnosis and therapy are essential so that immediate therapy can be provided, which is important for survival (Fournier gangrene) of the patient or for the preservation of erectile function (priapism and penile fracture). A detailed patient history and clinical examination are generally sufficient for correct diagnosis. RESULTS: Under certain circumstances, it might be useful to perform ultrasound, computed tomography scan or magnetic resonance imaging or retrograde urethrography...
April 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/26929752/rectovaginal-fistulae
#9
REVIEW
Bidhan Das, Michael Snyder
Rectovaginal fistulae are abnormal epithelialized connections between the rectum and vagina. Fistulae from the anorectal region to the posterior vagina are truly best characterized as anovaginal or very low rectovaginal fistulae. True rectovaginal fistulae are less common and result from inflammatory bowel disease, trauma, or iatrogenic injury. A very few patients are asymptomatic, but the symptoms of rectovaginal fistula are incredibly distressing and unacceptable. Diagnostic approach, timing, and choice of surgical intervention, including sphincteroplasty, gracilis flaps, Martius flaps, and special circumstances are discussed...
March 2016: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/26854075/the-incidence-spectrum-and-outcomes-of-traumatic-bladder-injuries-within-the-pietermaritzburg-metropolitan-trauma-service
#10
R J Urry, D L Clarke, J L Bruce, G L Laing
INTRODUCTION: The purpose of this study is to provide a comprehensive overview of the incidence, spectrum and outcomes of traumatic bladder injury in Pietermaritzburg, South Africa, and to identify the current optimal investigation and management of patients with traumatic bladder injuries. METHODS: The Pietermaritzburg Metropolitan Trauma Service (PMTS) trauma registry was interrogated retrospectively for all traumatic bladder injuries between 1 January 2012 and 31 October 2014...
May 2016: Injury
https://www.readbyqxmd.com/read/26832674/lessons-learned-using-an-mri-only-workflow-during-high-dose-rate-brachytherapy-for-prostate-cancer
#11
Jure Murgic, Peter Chung, Alejandro Berlin, Andrew Bayley, Padraig Warde, Charles Catton, Anna Simeonov, Jessamine Abed, Gerald O'Leary, Alexandra Rink, Cynthia Ménard
PURPOSE: We report clinical observations of a technique using an MRI-only workflow for catheter insertion and treatment planning in patients receiving standard-care high-dose-rate brachytherapy before external beam radiotherapy for prostate cancer. METHODS AND MATERIALS: Forty patients with intermediate or high-risk prostate cancer were enrolled on a prospective clinical trial approved by our institution's research ethics board. Multiparametric MRI with stereotactic navigation was used to guide insertion of brachytherapy catheters, followed by MRI-based treatment planning...
March 2016: Brachytherapy
https://www.readbyqxmd.com/read/26713970/management-of-penetrating-extraperitoneal-rectal-injuries-an-eastern-association-for-the-surgery-of-trauma-practice-management-guideline
#12
REVIEW
Patrick L Bosarge, John J Como, Nicole Fox, Yngve Falck-Ytter, Elliott R Haut, Heath A Dorion, Nimitt J Patel, Amy Rushing, Lauren A Raff, Amy A McDonald, Bryce R H Robinson, Gerald McGwin, Richard P Gonzalez
BACKGROUND: The management of penetrating rectal trauma invokes a complex decision tree that advocates the principles of proximal diversion (diversion) of the fecal stream, irrigation of stool from the distal rectum, and presacral drainage based on data from World War II and the Vietnam War. This guideline seeks to define the initial operative management principles for nondestructive extraperitoneal rectal injuries. METHODS: A systematic review of the MEDLINE database using PubMed was performed...
March 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26691359/solitary-rectal-ulcer-syndrome-demographic-clinical-endoscopic-and-histological-panorama
#13
Amanullah Abbasi, Abdul Rabb Bhutto, Ali Taj, Aurangzaib, Akhtar Baloch, Muhammad Masroor, S M Munir
OBJECTIVE: To assess the demographic, clinical, endoscopic and histological spectrum of Solitary Rectal Ulcer Syndrome (SRUS). STUDY DESIGN: Cross-sectional observational study. PLACE AND DURATION OF STUDY: Medical Unit-III, Civil Hospital Karachi (CHK) and Ward 7, Jinnah Postgraduate Medical Centre (JPMC), Karachi, from January 2009 to June 2012. METHODOLOGY: Patients with SRUS, based on characteristic endoscopic and histological findings, were enrolled...
December 2015: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/26520839/repair-of-a-traumatic-cloaca-after-obstetric-anal-sphincter-injury
#14
Federico Spelzini, Matteo Frigerio, Stefano Manodoro, Debora Verri, Elena Nicoli, Rodolfo Milani
INTRODUCTION AND HYPOTHESIS: Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair. METHODS: A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps...
March 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26460157/modified-technique-of-bilateral-gluteus-maximus-transposition-for-reconstruction-of-sphincter-for-pediatric-traumatic-fecal-incontinence
#15
Feiteng Kong, Yang Wu, Yongmei Chen, Juxian Liu, Fuyu Li, Bo Xiang
PURPOSE: The aim of the study was to report our 13-year experience of 14 children with gluteus maximus muscular transposition to treat post-trauma fecal incontinence and discuss our technical modifications to this surgical procedure. METHODS: Fourteen children (median age: 9.9years) with complete fecal incontinence after traumas received this procedure from December 1998 to February 2011. The major modification of the surgery was that we transposed two thick muscular bundles about 2cm in diameter bilaterally...
December 2015: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26188926/anorectal-injuries-in-children-a-20-year-experience-in-two-centers
#16
MULTICENTER STUDY
Inbal Samuk, Zvi Steiner, Elad Feigin, Arthur Baazov, Elena Dlugy, Enrique Freud
INTRODUCTION: Anorectal injuries in children are not frequently reported and their management is challenging. This report reviews the experience in managing this type of injuries in two medical centers over 20 years. METHODS: An institutional database search for patients who were treated for anorectal injuries between 1994 and 2015 was undertaken. Twenty cases were located and medical records reviewed. This study was conducted with institutional review board approval (#572-14)...
September 2015: Pediatric Surgery International
https://www.readbyqxmd.com/read/26023317/factors-affecting-morbidity-and-mortality-in-traumatic-colorectal-injuries-and-reliability-and-validity-of-trauma-scoring-systems
#17
Nurettin Ay, Vahhaç Alp, İbrahim Aliosmanoğlu, Utkan Sevük, Şafak Kaya, Bülent Dinç
BACKGROUND AND AIM: This study aims to determine the factors that affect morbidity and mortality in colon and rectum injuries related with trauma, the use of trauma scoring systems in predicting mortality and morbidity. PATIENTS AND METHODS: Besides patient demographic characteristics, the mechanism of injury, the time between injury and surgery, accompanying body injuries, admittance Glasgow coma scale (GCS), findings at surgery and treatment methods were also recorded...
2015: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/25800318/rectal-impalement-injury-from-cruelty-to-salvage-endeavour
#18
C Lupaşcu, V Fotea, P Sârbu, D Andronic
Massive penetrating trauma by rectal impalement is a very rare form of injury, complicated and potentially lethal. It is even rarer for such injury to result in pelvic, abdominal and thoracic internal damages. We report the case of a 62 year-old man who was admitted in emergency after an aggression with a sharp wooden stake inserted forcibly into his rectum. Clinical examination revealed the blunt extremity of the stake outside the anus and the prominent sharp end reaching his right supraclavicular fossa. Radiographic examination showed the stake extending from the rectum to the right side of the neck...
January 2015: Chirurgia
https://www.readbyqxmd.com/read/25786844/-severe-constipation-caused-by-an-abnormally-angled-coccyx
#19
Ane Simony, Emil Jesper Hansen, Carsten Ernst
Constipation is a common disease among patients in all age groups, and the pathology can vary. This case report describes a 26-year-old female with severe constipation for six years. She was referred to a centre for spine surgery with a coccyx compressing her rectum causing constipation. The symptoms developed six years previously after a trauma, progressed during pregnancy and after giving birth. X-ray showed a 90-degree anterior angulated coccyx compressing the rectum. She was treated with resection of the coccyx, and symptoms disappeared after surgery...
March 16, 2015: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/25669639/intra-abdominal-bacterial-contamination-in-tamis-total-mesorectal-excision-for-rectal-carcinoma-a-prospective-study
#20
Simone Velthuis, Marloes Veltcamp Helbach, Jurriaan B Tuynman, Thuy-Nga Le, H Jaap Bonjer, Colin Sietses
BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) is currently gaining a lot of attention. NOTES is expected to further reduce surgical trauma and improve patient care due to eliminating abdominal incisions. The interest in transrectal NOTES has grown slowly, because of concerns of bacterial contamination due to transection of the rectum at the start of the procedure. However, different studies already demonstrated that transanal TME (TaTME) can be performed without major complications...
November 2015: Surgical Endoscopy
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