Clinical Analysis Of Traumatic Isolated Rectal Injuries

INTRODUCTION: In this study, we aimed to evaluate the approach to patients who applied to our clinic due to isolated rectal injury.
METHODS: Patients treated for isolated rectal injury in our clinic between January-2017 and December-2021 were retrospectively reviewed.
Ten patients were examined and 7 patients were included in the scope of the evaluation. The patients were evaluated under the headings such as age, gender, injury site, and whether or not diversion was performed.

RESULTS: All patients were male and the mean age was 26.5±9.46 years.
There were middle rectal injuries in two patients, upper rectal injuries in one patient, and lower rectal injuries in four patients. Except for one patient with lower rectal injury and no rectal contamination, the other six patients underwent diversion. One patient who underwent transanal repair was followed up with tomography in the postoperative period.

DISCUSSION AND CONCLUSION: Rectal injuries are high-risk injuries due to their neighborhood in the pelvic region. Intestinal diversion is a serious option to prevent pelvic sepsis. It should not be forgotten that transanal primary repair can also be performed after the location of the injury is determined and the perirectal area is cleaned.