RECTUM AND ANAL INJURY

Česká verzia

Authors: Karel Rupert; Vladimír Veselý; Jan Jambura ²; Petr Duras ¹; Vladislav Třeška
Authors place of work: Chirurgická klinika FN Plzeň ; Radiodiagnostic department, University Hospital Plzeň ¹; Radiodiagnostická klinika FN Plzeň ¹; Department of Urology, University Hospital Plzeň ²; Urologická klinika FN Plzeň Department of Surgery, University Hospital Plzeň ²
Published in the journal: Úraz chir. 13., 2005, č.4

Summary

Introduction:
Rectal and anal injuries are not frequent causes of hospitalisation. However, if misdiagnosed, they can have fatal consequences. Patients with suspicion of rectal injury are referred to surgical units and it is a surgeon´s task to provide proper diagnosis and treatment though in many cases interdisciplinary collaboration is required.

Case study:
This section describes rectal injury in a 12 year old boy who fell on a sharp branch that penetrated through the rectum and urinary bladder up to the abdominal cavity. After diagnosis carried out with the cooperation of the surgeon and urologist, the patient received a twophase operation.

Discussion:
A precondition for the successful treatment of rectal injury is correct and early diagnosis along with adequate and careful surgical treatment carried out by an experienced team. This section analyses causes of injury and adequate treatment for each cause using, often essential interdisciplinary collaboration.

Conclusion:
Generally, rectal injuries require twophase operations: the first stage comprises careful examination of the abdominal cavity with correction of detected injuries and drainage and the second stage focuses on restoration of gastrointestinal tract integrity.

Key words:
rectum injury, diagnostics and treatment.

Zdroje

1. DRÁBKOVÁ, J. Polytrauma v intenzivní medicíně. 1. vyd. Praha: Grada, 2002. 308 s.

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3. HOLUBEC, L. a kol. Kolorektální karcinom – současné možnosti diagnostiky a léčby. 1. vyd. Praha: Grada, 2004. 194 s.

4. MICHEK, J., PLEVA, L., WENDSCHE, P. Poranění orgánů dutiny břišní a retroperitonea. 1. vyd. Ostrava: Cicero, 2001. 134 s.

5. NEPRAŠOVÁ, P., TŘEŠKA, V., ŠIMÁNEK, V. Poranění konečníku porcelánovým hrnečkem. Rozhl Chir. 80, 2001, 3, 128–131.

6. NOEL, A., ARMENAKAS, JW., MCANINCH. Penetrating Genitourinary Tract. 1. vyd. New York: ThiemeStraton, 1996. 148 s.

7. ZOLLINGER, R.M., CUTLER, E.C. Zollingers atlas of surgical operations. 8. vyd. London: Higher Education, 2002. 528 s.

Štítky

Surgery Traumatology Trauma surgery

Článek COMPARATIVE STUDY OF LASER ASSISTED LATERAL RELEASE OF PATELLA AND CONVENTIONALLY PERFORMED RELEASE

Článek COMPARATIVE STUDY OF LASER ASSISTED SUBACROMIAL DECOMPRESSION AND DECOMPRESSION PERFORMED CONVENTIONALLY

Článek PERIPROSTHETIC FRACTURES OF PROXIMAL FEMUR - PART I.: RISK FACTORS, CLASSIFICATION

Článek PERIPROSTHETIC FRACTURES OF PROXIMAL FEMUR – PART II.: TREATMENT, PROPHYLAXIS, CASES

Článek RESOLUTION OF POSTTRAUMATIC ALOPECIA BY MEANS OD EXPANDERS

Článok vyšiel v časopise

Trauma Surgery

2005 Číslo 4

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