Anorectal avulsion: Management of a rare rectal trauma.

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.