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복강내 및 복강외 방광파열과 소장파열이 동반된 직장천통

Other Titles
 Extraperitoneal and Intraperitoneal Bladder Rupture and Ileal Perforation Secondary to Rectal Impalement 
 김용정  ;  권민수  ;  임대진  ;  윤동섭  ;  심희수  ;  손승국  ;  지훈상 
 Journal of the Korean Association Traumatology (대한외상학회지), Vol.10(2) : 271-274, 1997 
Journal Title
 Journal of the Korean Association Traumatology (대한외상학회지) 
Issue Date
Rectal impalement is even more unusual form of rectal injury. The typical mechanism of injury is a jump or a fall onto an impaling object, such as a fence or rake. This type of injury may range from simple rectal perforation with minimal soft tissue injury to severe rectal impalement, characterized by transfixion by the impaling object with resultant extensive perineal trauma and multiple organ damage. Because rectal injuries in civilians are uncommon, there remain considerable differences of opinion ahout the need for their repair as well as the optimal type of colostomy, method of drainage, and role of irrigation. We report a case of rectal impalement with associated intrapeirtoneal, extraperitoneal bladder perofration and ileal perforation caused hy through and through mechanism. Operatively, the anterior rectal tear was closed primarily transanally with interrupted two layer vicryl sutures. The diverting colostomy and presacral drainage were not performed. The defects of bladder were closed with running chromic sutures. A suprapubic tube was placed. Postoperatively, the patient did well and discharged on postoperative day 14. We believe this to he the first reported case of rectal impalement causing intraperitoneal, extraperitoneal bladder perforation and ileal perforation.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
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