We present a case of an 11-year-old boy with haematuria after traumatic rectal insertion of a sharp metal stick. It demonstrates that an expectative management with close observation can be considered in patients with rectal impalement trauma presenting with haematuria and stable vital parameters without significant injury on abdominal ultrasound.
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http://dx.doi.org/10.4103/0189-6725.170198 | DOI Listing |
Am J Case Rep
December 2024
Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki, Kanagawa, Japan.
BACKGROUND Iliac vein injuries usually require surgical intervention due to their high mortality rates. Although conservative management may be applicable in some cases of blunt trauma, the suitability of this approach for treating penetrating injuries remains underexplored. CASE REPORT A 51-year-old man sustained a common iliac vein injury following rectal impalement in a collapsing chair.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2024
Department of General Surgery, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India. Electronic address:
Introduction: A rectal impalement injury is a rare type of penetrating injury that involves a solid object being forcefully inserted through anal opening. The removal of such injuries should be planned carefully with preparedness to assess and manage associated injuries in the pelvis and peri-anal region.
Case Description: An elderly female, around 65 years old, had a history of accidental penetration of an iron rod into her anal orifice.
Colorectal Dis
July 2024
Department of General Surgery, Onze-Lieve-Vrouw (OLV) Hospital Aalst-Asse-Ninove, Aalst, Belgium.
Int J Surg Case Rep
April 2021
Department of General Surgery, Grant Medical College and Sir JJ Group of Hospitals, Byculla, Mumbai, 400008, India. Electronic address:
Introduction And Importance: Rectal perforations due to foreign body impalement are infrequently encountered in practice. Accidental or intentional foreign body insertions pose a diagnostic challenge to surgeons and put them in demanding circumstances for successful extraction.
Case Presentation: We report a case of a 60-year-old male with alleged history of accidental foreign body insertion into the rectum.
Urol Case Rep
July 2021
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan.
A 24-year-old man presented with anal bleeding after accidentally falling on a table leg. Computed tomography showed free air in the bladder and around the rectum with a high-density area without intraperitoneal free air. The patient was suspected of having extraperitoneal bladder perforation with rectal impalement, and he underwent transanal rectal repair, colostomy, and urethral catheter placement after intraperitoneal bladder perforation was excluded by exploratory laparoscopy.
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