Open AccessTransanal impalement of double J steel bar with colonic and jejunal injury: A unique pediatric case report
Author(s) -
Divya Gupta,
Devendra Kumar Yadav,
Shasanka Shekhar Panda,
Maitreyee Panda,
Deepak Bagga,
Samir Acharya,
Nischal Anand,
Bikash Kumar Naredi
Publication year - 2015
Publication title -
journal of natural science, biology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 30
eISSN - 2229-7707
pISSN - 0976-9668
DOI - 10.4103/0976-9668.149186
Subject(s) - medicine , accidental , blunt , perforation , surgery , penetrating trauma , abdominal trauma , jejunum , physical examination , blunt trauma , pediatric trauma , poison control , general surgery , injury prevention , medical emergency , physics , materials science , acoustics , punching , metallurgy
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.