Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
J Pediatr Urol. 2012 Feb;8(1):e4-6. doi: 10.1016/j.jpurol.2011.09.001. Epub 2011 Sep 19.
Anorectal impalement is an uncommon mode of injury in children, with only a few case reports in the pediatric literature. No report describes a clinical presentation with bladder stones in a child, as in our case. This case highlights the need to maintain a high index of suspicion in all cases of rectal impalement, and the need for thorough clinical examination even in the most trivial of the injuries.
直肠贯通伤在儿童中较为少见,儿科文献中仅有少数病例报告。在我们的病例中,没有描述过儿童出现膀胱结石的临床表现。本病例强调了在所有直肠贯通伤的情况下都要保持高度怀疑,即使是最轻微的损伤也需要进行彻底的临床检查。