Impalement and anorectal injuries in childhood: A retrospective study of 12 cases

Beiler, H. A.; Zachariou, Zacharias; Daum, R.

doi:10.1016/s0022-3468(98)90170-1

Cited by 41 publications

(37 citation statements)

References 3 publications

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“…The offending objet can be sharp stumps or picket of wood as in 2 cases of our series, and in 2 cases of the series of Ameh E [1]. Other objects can cause impalement: fence [6], cow horn [1]. Road traffic accident was reported [1,6].…”

Section: Discussionmentioning

confidence: 54%

“…The distribution according to the sex changes from one series to another. Some series found male predominance [3,8], while others found female predominance [1,6]. Our series included 2 boys and 2 girls.…”

Section: Discussionmentioning

confidence: 72%

“…It is not a common trauma; few series of over 10 years collected more than 10 cases: 13 cases for Vincent MV et al, [3], 12 cases for Beiler et al, [6]. In West Africa, the most important published series is that of Ameh et al, [1]: 7 cases over 10 years.…”

Section: Discussionmentioning

confidence: 99%

“…Etiologies are multiple. Impalement or falling upon an offending objet is the most frequent mechanism [3,6,10]. The nature of the offending objet is variable; in the series of Vincent et al, [3], there were metal objects in 12 cases over 13, and those objects are part of malfunctioning bicycles.…”

Section: Discussionmentioning

confidence: 99%

“…Many publications are case reports [2,4,5], or limited series of cases [1,3,6]. They are frequently due to accidental impalement [1,2,4,5], sexual assault [2,4] or road traffic accident [1,4 ].…”

Section: Introductionmentioning

confidence: 99%

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Anorectal Traumas in Children

Akakpo-Numado¹

2015

NCP

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IntroductionAnorectal Traumas (ART) are rare injuries in children. Reports from developing countries are also rare. Their etiologies are variable. Their management is based on a correct diagnosis including anorectal lesions and associated injuries in pelvis or abdomen. A colostomy can be indicated according to the grade of the injury. We herin report the experience of our department in Togo, a developing country. MethodsThis is a retrospective study on files of children aged 15 years or less, managed in Pediatric Surgery Department of Sylvanus Olympio Teaching Hospital of Lomé from January 2004 to December 2013 for ART. The classification of Black et al., was used. Age, sex, mechanism of the trauma, presentation, treatment and outcome were recorded. ResultsDuring 10 years, 4 children (2 girls and 2 boys) were treated in our Department for ART. Their ages were 2.5, 8, 11 and 13 years old. The etiology was impalement upon a picket in 2 cases and sexual assault in 2 cases. The delays to admission were 8 hours, 19 hours, 3 days and 6 days. Two traumas were of grade II, one of grade III and one of grade V. Colostomy was done in two cases (grades III and V). Two children didn't need anorectal repair (one of grade II and one of grade V). Anorectal repair was done immediately in one grade II, and 4 week after colostomy in the grade III. Sigmoid and ileal perforation were repaired in the grade V. The outcome was good in all cases. ConclusionART can be life threatening in children. Early and correct diagnosis and adapted management lead to recovery without sequela.

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