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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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Detalles Bibliográficos
Autores principales: McFadgen, H., Bentley, V.L., Helyer, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8605271/
https://www.ncbi.nlm.nih.gov/pubmed/34825043
http://dx.doi.org/10.1016/j.tcr.2021.100554
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author McFadgen, H.
Bentley, V.L.
Helyer, L.
author_facet McFadgen, H.
Bentley, V.L.
Helyer, L.
author_sort McFadgen, H.
collection PubMed
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.
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spelling pubmed-86052712021-11-24 Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review McFadgen, H. Bentley, V.L. Helyer, L. Trauma Case Rep Case Report 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. Elsevier 2021-11-10 /pmc/articles/PMC8605271/ /pubmed/34825043 http://dx.doi.org/10.1016/j.tcr.2021.100554 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
McFadgen, H.
Bentley, V.L.
Helyer, L.
Extraperitoneal rectal trauma in a patient with multiple gunshot wounds: A case report and literature review
title 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_short 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8605271/
https://www.ncbi.nlm.nih.gov/pubmed/34825043
http://dx.doi.org/10.1016/j.tcr.2021.100554
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AT helyerl extraperitonealrectaltraumainapatientwithmultiplegunshotwoundsacasereportandliteraturereview