Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review

Penetrating rectal trauma is an uncommon presentation, particularly in centres with low rates of trauma, and requires a high index of suspicion to identify and treat. Management of penetrating rectal trauma has evolved over several decades and previously included proximal diversion, distal rectal wa...

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Autores principales:	H. McFadgen, V.L. Bentley, L. Helyer
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Trauma Rectal trauma Rectal injury Penetrating trauma Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7c7a49453b094148900c8291031fce16
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spelling	oai:doaj.org-article:7c7a49453b094148900c8291031fce162021-11-18T04:50:21ZExtraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review2352-644010.1016/j.tcr.2021.100554https://doaj.org/article/7c7a49453b094148900c8291031fce162021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S235264402100159Xhttps://doaj.org/toc/2352-6440Penetrating rectal trauma is an uncommon presentation, particularly in centres with low rates of trauma, and requires a high index of suspicion to identify and treat. Management of penetrating rectal trauma has evolved over several decades and previously included proximal diversion, distal rectal washout, and presacral drainage as the primary surgical maneuvers to reduce mortality. Recently, a more conservative approach has been adopted, as the applicability of combat experience to the civilian setting has been questioned. In this report, a case of extraperitoneal rectal injury in a patient with multiple gunshot wounds provides a backdrop for literature review and discussion of the modern diagnostic and management approaches to penetrating rectal trauma.H. McFadgenV.L. BentleyL. HelyerElsevierarticleTraumaRectal traumaRectal injuryPenetrating traumaSurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100554- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Trauma Rectal trauma Rectal injury Penetrating trauma Surgery RD1-811
spellingShingle	Trauma Rectal trauma Rectal injury Penetrating trauma Surgery RD1-811 H. McFadgen V.L. Bentley L. Helyer Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
description	Penetrating rectal trauma is an uncommon presentation, particularly in centres with low rates of trauma, and requires a high index of suspicion to identify and treat. Management of penetrating rectal trauma has evolved over several decades and previously included proximal diversion, distal rectal washout, and presacral drainage as the primary surgical maneuvers to reduce mortality. Recently, a more conservative approach has been adopted, as the applicability of combat experience to the civilian setting has been questioned. In this report, a case of extraperitoneal rectal injury in a patient with multiple gunshot wounds provides a backdrop for literature review and discussion of the modern diagnostic and management approaches to penetrating rectal trauma.
format	article
author	H. McFadgen V.L. Bentley L. Helyer
author_facet	H. McFadgen V.L. Bentley L. Helyer
author_sort	H. McFadgen
title	Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
title_short	Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
title_full	Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
title_fullStr	Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
title_full_unstemmed	Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
title_sort	extraperitoneal rectal trauma in a patient with multiple gunshot wounds: a case report and literature review
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/7c7a49453b094148900c8291031fce16
work_keys_str_mv	AT hmcfadgen extraperitonealrectaltraumainapatientwithmultiplegunshotwoundsacasereportandliteraturereview AT vlbentley extraperitonealrectaltraumainapatientwithmultiplegunshotwoundsacasereportandliteraturereview AT lhelyer extraperitonealrectaltraumainapatientwithmultiplegunshotwoundsacasereportandliteraturereview
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Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review

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