Perforation of large and small intestines by impalement in a 13-year-old boy

Akakpo-Numado, Gamedzi Komlatsè; Boume, Missoki Azanlédji; Mihluedo-Agbolan, Komlan Anani; Simlawo, Kpatékana; Adabra, Komlan; Tékou, H

doi:10.1016/j.epsc.2014.04.001

Cited by 3 publications

(6 citation statements)

References 10 publications

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“…A clear description of the mechanism is important; it informs on the gravity of the trauma, and the organs that can be damaged. Rectal bleeding is the most frequent presentation [1,3,5]; it was seen in all our cases. Vaginal bleeding is associated in girls when the rectovaginal septum is hurt [1,3].…”

Section: Discussionmentioning

confidence: 98%

“…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%

“…They are frequently due to accidental impalement [1,2,4,5], sexual assault [2,4] or road traffic accident [1,4 ]. Intra-pelvic [7] and intra-abdominal injuries [5] can be associated with ART, and threaten the life of the child. The right diagnosis of the ART and its associated injuries is not easy, but must be done in emergency, in order to avoid especially septic complications.…”

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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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anorectal Traumas in Children

Akakpo-Numado¹

2015

NCP

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“…El empalamiento es una causa excepcional del trauma anorrectal 1 . La lesión por empalamiento es un tipo específico de trauma definido como una herida penetrante causada por un objeto con punta roma, relacionada principalmente con caídas, actividades sexuales peligrosas o deslizamiento con una fuerza externa fuerte 2 .…”

Section: Introductionunclassified

“…Estas estadísticas generalmente se asocian con complicaciones de lesiones por caída, contaminación de heridas y lesiones en órganos profundos, lo que culmina en hemorragia, disfunción orgánica e infección 2,4 . Por ello, cualquiera que sea la causa del empalamiento, el diagnóstico preciso de las lesiones asociadas no es fácil y la ausencia de una herida externa superficial del margen anal no refleja la verdadera gravedad del daño 1 . El objetivo de este artículo es exponer al autoempalamiento como agente causante de lesión anorrectal, que es de presentación extraordinaria y se encuentran muy pocos casos registrados en la literatura.…”

Section: Introductionunclassified

Perforación de colon secundaria a empalamiento autoinfligido: a propósito de un caso

Lozada-Martínez¹,

Periñan-Pérez²,

Núñez-Rojas³

et al. 2020

CIRU

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El empalamiento es una causa grave y rara de lesión anorrectal, pudiendo darse en multitud de contextos, ya sea de índole accidental, psiquiátrica o por prácticas sexuales o criminales. El objetivo de este manuscrito es mostrar al autoempalamiento como agente causante de lesión anorrectal, de presentación extraordinaria. Se presenta un caso de empalamiento autoinfligido con perforación intestinal en un hombre de 44 años, que acudió al servicio de urgencias sin el objeto causante de la lesión y con un cuadro de abdomen agudo, debido a hemoperitoneo, peritonitis fecal y perforación en la unión rectosigmoidea.

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Perineal impalement injury by steel bar — A near miss

Xie

Leong²,

Joethy

et al. 2016

Trauma Case Reports

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Adult perianal impalement injuries are uncommon but can carry high morbidity and mortality. We report a case of a penetrating perineal trauma in a construction worker highlighting an innovative use of a Sengstaken tube to control his pelvic bleeding, as well as the operative management of his sphincteric injury. This article illustrates principles of effective acute care and discusses a diagnostic approach to evaluating a potentially complex injury, as well as the decision-making process with regard to fecal diversion and choice of sphincteric repair.

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Perforation of large and small intestines by impalement in a 13-year-old boy

Cited by 3 publications

References 10 publications

Anorectal Traumas in Children

Anorectal Traumas in Children

Perforación de colon secundaria a empalamiento autoinfligido: a propósito de un caso

Perineal impalement injury by steel bar — A near miss

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