Transanal impalement of double J steel bar with colonic and jejunal injury: A unique pediatric case report

Abstract

Pediatric transanal impalement injuries are relatively uncommon and most are attributed to accidental fall on offending objects, sexual assault or blunt trauma. There may be difficulty in recognizing or properly treating such injuries because their severity may not be reflected externally. Evaluation of suspected rectal impalement injury involves careful history and physical examination and proper investigation. There are very few reports on pediatric perianal impalement with associated visceral injuries. We report a case of assault transanal impalement injury associated with mesenteric tear and jejunal perforation leading to devitalization of proximal jejunum in a 2 year male child and relevant literatures were reviewed. To the best of our knowledge, such dual proximal and distal gastrointestinal injury in such a small child has not been reported in any of the English literature so far.

DOI: 10.4103/0976-9668.149186

Cite this paper

@inproceedings{Gupta2015TransanalIO, title={Transanal impalement of double J steel bar with colonic and jejunal injury: A unique pediatric case report}, author={Divya Gupta and Devendra Kumar Yadav and Shasanka Shekhar Panda and Meely Panda and Deepak Bagga and Samir Kant Acharya and Nischal Anand and Bikash Kumar Naredi}, booktitle={Journal of natural science, biology, and medicine}, year={2015} }