Anorectal Avulsion: Reporting a Rare Case of Rectal Trauma and Review of the Literature

Author Info

Ioannis Staikos Panagiotis Papamichalis Anna Ziogkou Antonios Koutalos Dimitrios Papadopoulos Evangelos Alexiou Konstantinos Bouliaris Konstantinos Malizos Matthaios Efthimiou Paraskevi Hatzikomnitsa

Corresponding Author

Konstantinos Bouliaris
Surgical Department, General Hospital of Larissa, Larissa, 41221, Greece

A B S T R A C T

Background: Anorectal avulsion is a rare rectal injury and it is the result of severe blunt pelvic trauma. In this type of injury, the anus and sphincters are detached from the perineum and are displaced cranially and ventrally. Treatment is challenging and only a few reports are available. Case presentation: We report a case of 49-year-old male patient who was referred to our hospital in a septic condition 10 days after a complex crush pelvic trauma with anorectal avulsion. The treatment included external pelvic fixation, control of the pelvic sepsis, sigmoidostomy and negative-pressure therapy of the perineal wound. Salvage of the anus could not be done. The patient was discharged after 90 days suffering from neurologic deficits of both lower extremities and he followed a long-term rehabilitation program. Conclusion: Severe perineal injuries with anorectal avulsion are associated with significant morbidity and mortality. Due to the rarity of this entity treatment is not standardised and requires a multidisciplinary approach involving general surgeons, orthopaedics, intensivists and rehabilitators. Any effort for anal reconstruction should be done, if possible, early in the treatment course.

Article Info

Article Type

Original Research and Review of Literature

Publication history

Received: Mon 16, Dec 2019
Accepted: Thu 26, Dec 2019
Published: Tue 31, Dec 2019

Copyright

© 2023 Konstantinos Bouliaris. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.06.14