Uncommon rectal impalement injury with an unexpected intraabdominal trauma

Autor: Belkis Diez-Mendiondo, Jonathan Hencke, Oliver H. Diez, Steffan Loff
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 81, Iss , Pp 102254- (2022)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2022.102254
Popis: Rectal penetrating injuries are a very rare and potentially lethal form of trauma in children. We report the case of a rectal impalement injury (RII) in a 3-year-old female patient after an almost unbelievable accident at home. Laparotomy revealed a traumatic rectal wall perforation. Initially, we had a high suspicion of child abuse.Later, the child was readmitted with vomiting and elevated inflammation parameters. Diagnostics including MRI showed an intrahepatic foreign body abscess, which was treated laparoscopically. We found a piece of diaper residue consistent with the trauma mechanism reported by the parents.With this case report we would like to draw attention to a very unusual and almost incredible injury, its sequelae and challenges.
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