肛门直肠撕脱伤：一种罕见直肠创伤的处理
Anorectal avulsion: Management of a rare rectal trauma.
作者信息
Rispoli C, Andreuccetti J, Iannone L, Armellino M, Rispoli G
机构信息
Department of General Surgery, Ascalesi Hospital - ASL NA1, Naples, Italy.
出版信息
Int J Surg Case Rep. 2012;3(7):319-21. doi: 10.1016/j.ijscr.2012.04.001. Epub 2012 Apr 5.
INTRODUCTION
Traumatic injuries of the rectum are unusual even though their treatment is challenging and often lead to high morbidity and mortality rate.
PRESENTATION OF CASE
This paper reports a rare case of complete rectal avulsion with multiple fracture and hemoperitoneum treated with a multistep approach in our department.
DISCUSSION
The anorectal avulsion is a rare rectal trauma; only few reports are available. Treatment key points of rectal trauma are: direct repair, diverting stoma and sacral drainage.
CONCLUSION
We reported a case of anorectal avulsion with complete detachment of external sphincter muscle. A multidisciplinary approach was mandatory in this kind of lesions.
引言
直肠创伤性损伤虽不常见，但其治疗颇具挑战性，且常导致高发病率和死亡率。
病例介绍
本文报道了我院采用多步骤方法治疗的一例罕见的直肠完全撕脱伴多发骨折及腹腔积血病例。
讨论
肛门直肠撕脱是一种罕见的直肠创伤；仅有少数报道。直肠创伤的治疗要点为：直接修复、转流造口和骶骨引流。
结论
我们报道了一例肛门直肠撕脱伴外括约肌完全离断的病例。对于这类损伤，多学科方法必不可少。
Zotero 插件