Mouradian Gregory P, Lake Zoe, Winfield Robert
The University of Kansas Medical Center, Department of Surgery, 3901 Rainbow Blvd, Mail Stop 2005, Kansas City, KS 66160, USA.
Trauma Case Rep. 2023 Aug 21;47:100886. doi: 10.1016/j.tcr.2023.100886. eCollection 2023 Oct.
The rectum is an anatomically protected and well vascularized structure. Injury to the rectum is usually the result of penetrating perineal mechanisms or reported scalding enemas. Here, we report a case of isolated rectal necrosis following a 72 % total body surface area burn that resulted from a motor vehicle crash. The patient's rectal injury was managed with open resection, left in discontinuity and ultimately expired. In presenting this case, we hope to share an unusual development in a patient with critical illness and guide future care.
直肠是一个在解剖学上受到保护且血管丰富的结构。直肠损伤通常是穿透性会阴机制或报道的烫伤灌肠所致。在此，我们报告一例机动车碰撞导致全身表面积72%烧伤后出现的孤立性直肠坏死病例。该患者的直肠损伤采用开放切除术处理，直肠保持断离状态，最终患者死亡。通过呈现此病例，我们希望分享重症患者的一种不寻常病情发展情况，并为未来的治疗提供指导。
