Journal of Trauma and Injury

  • 제29권4호
  • /
  • Pages.201-203
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  • 2016
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
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Rectal Injury Associated with Pelvic Fracture

  • Gwak, Jihun (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Lee, Min A (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Yu, Byungchul (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Choi, Kang Kook (Department of Trauma Surgery, Gachon University Gil Medical Center)
  • 투고 : 2016.12.05
  • 심사 : 2017.02.17
  • 발행 : 2016.12.31
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초록

Rectal injury is seen in 1-2% of all pelvic fractures, and lower urinary tract injury occurs in up to 7%. These injuries are rare, but if missed, can lead to a severe septic response. Rectal injury may be suspected by the presence of gross blood on digital rectal examination. However, this classic sign is not always present on physical examination. If an Antero-Posterior Compression type pelvic fracture is seen, we should consider the possibility of rectal and lower urinary tract injury. It is important to define the anatomic location of the rectal injury as it relates to the peritoneal reflection. Trauma to the intraperitoneal rectum should be managed as a colonic injury. Extraperitoneal rectal injury should be managed with fecal diversion regardless of primary repair. We present the case of a 46-year-old man who was referred to our hospital following a major trauma to the pelvis in a pedestrian accident.

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참고문헌

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  6. Bosarge PL, Como JJ, Fox N, Falck-Ytter Y, Haut ER, Dorion HA, et al. Management of penetrating extraperitoneal rectal injuries: An Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2016; 80: 546-51. https://doi.org/10.1097/TA.0000000000000953

피인용 문헌

  1. Rectal Perforation Associated with a Pelvic Fracture Managed with Lateral Caudal Axial Pattern Flap Surgery Using the Tail to Skin Defect in a Mixed-Breed Dog vol.38, pp.5, 2021, https://doi.org/10.17555/jvc.2021.38.5.240