Kim Sendia, Linden Bradley, Cendron Marc, Puder Mark
Vascular Biology Lab, Children's Hospital Boston, Boston, MA 02115, USA.
J Pediatr Surg. 2006 Sep;41(9):E1-3. doi: 10.1016/j.jpedsurg.2006.05.004.
Rectal impalement involves foreign body trauma to the anus or rectum resulting in intra- or extraperitoneal rupture. Evaluation of suspected rectal impalement injury involves careful history and physical examination. Ruling out rectal perforation in patients with reported impalement is critical even if there is no evidence of trauma to the perineum. There are few reports on pediatric impalement and only 1 reported case of pediatric rectal impalement with bladder rupture. We report a rectal impalement with extraperitoneal bladder injury in a 12-year-old boy and review the literature on treatment of these injuries.
直肠穿刺伤是指异物对肛门或直肠造成创伤，导致腹膜内或腹膜外破裂。对疑似直肠穿刺伤的评估需要详细询问病史并进行仔细的体格检查。即使没有会阴外伤的证据，对于报告有穿刺伤的患者排除直肠穿孔也至关重要。关于儿童穿刺伤的报道很少，仅有1例儿童直肠穿刺伤合并膀胱破裂的报道。我们报告1例12岁男孩发生的直肠穿刺伤合并腹膜外膀胱损伤，并复习这些损伤治疗的相关文献。
