Anorectal avulsion: Management of a rare rectal trauma.

ABSTRACT

INTRODUCTION: Traumatic injuries of the rectum are unusual even though their treatment is challenging and often lead to high morbidity and mortality rate. PRESENTATION OF CASE This paper reports a rare case of complete rectal avulsion with multiple fracture and hemoperitoneum treated with a multistep approach in our department. DISCUSSION: The anorectal avulsion is a rare rectal trauma; only few reports are available. Treatment key points of rectal trauma are direct repair, diverting stoma and sacral drainage. CONCLUSION: We reported a case of anorectal avulsion with complete detachment of external sphincter muscle. A multidisciplinary approach was mandatory in this kind of lesions.