J Korean Soc Coloproctol.  2008 Feb;24(1):45-50. 10.3393/jksc.2008.24.1.45.

Management of Traumatic Injury to the Lower Rectum and Anal Sphincter Muscle Combined with Deep Perineal Laceration

• Jung MR
• Kim HK
• Park MH
• Ju JK
• Ryu SY
• Park YK
• Kim HR
• Kim DY
• Kim YJ

• KMID: 1479314
• DOI: http://doi.org/10.3393/jksc.2008.24.1.45

Abstract

Although rare, traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration present substantial diagnostic and management challenges for surgeons. Between February 2004 and February 2006, six patients were treated for traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration at the Department of Surgery, Chonnam National University Hospital. All six patients underwent a diverting colostomy, primary repair, and presacral a drainage, but only three cases underwentva a sphincteroplasty. Three patients who underwent a sphincteroplasty had normal findings on anorectal manometry. Traumatic injuries to the lower rectum and anal sphincter muscle combined with deep perineal laceration have a high morbidity rate and a great influence on the quality of life. Thus, such injuries require aggressive management, and treatment modalities should be tailored to the individual case.

Keyword

Rectal injury; Anus trauma

MeSH Terms

Anal Canal
Colostomy
Drainage
Humans
Lacerations
Manometry
Muscles
Quality of Life
Rectum