Tomčovčík Ľ., Rosocha L., Morochovič R., Burda R., Kitka M.: Rectovaginal Perforation in a Child

Česká verzia

Authors: Ľ. Tomčovčík; L. Rosocha ¹; R. Morochovič ²; R. Burda ²; M. Kitka ²
Authors place of work: Klinika úrazovej chirurgie FN J. A. Reimana a FZ Prešovskej univerzity v Prešove, Slovenská republika, prednosta: MUDr. Ľ. Tomčovčík, PhD. ; II. gynekologicko-pôrodnícka klinika FN L. Pasteura a LF UPJŠ Košice, Slovenská republika, prednosta: prof. MUDr. Alexander Ostró, CSc. ¹; Klinika úrazovej chirurgie FN L. Pasteura a LF UPJŠ Košice, Slovenská republika, prednosta: prof. MUDr. M. Kitka, PhD. ²
Published in the journal: Rozhl. Chir., 2011, roč. 90, č. 4, s. 229-231.
Category: Monothematic special - Original

Summary

Rectal injuries are not frequent in children. The authors present the case of an 11-year-old girl with a perforation of the rectum and vagina after falling on the steel rod of a bicycle pedal. Perineal incision with the widening of the vaginal entrance enabled good surgical access and careful reconstruction of the perforations without having to perform a colostomy. The injury healed without infectious complications, rectovaginal fistula or incontinence. Current opinions on the treatment of rectal injuries with individual access are discussed. Primary repair without faecal diversion can be considered in selected stabilized patients fewer than 6–8 hours from the time of injury without serious contamination, tissue devastation and associated injuries.

Key words:
rectal injury – vagina – colostomy – child

Zdroje

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