Social injuries of the rectum.
Eleven patients with injuries of the rectum and sigmoid colon secondary to the insertion of the clenched fist are presented. Six patients sustained mucosal lacerations of the rectum and four patients had rectosigmoid perforations requiring laparotomy. One patient sustained a severe sphincter laceration producing complete anal incontinence. The management of these conditions is discussed.
D000006:Abdomen, Acute / Q000601:surgery; D000328:Adult; D012809:Colon, Sigmoid / Q000293:injuries* / Q000601:surgery; D003125:Colostomy; D005242:Fecal Incontinence / Q000209:etiology; D006716:Homosexuality; D006801:Humans; D007416:Intestinal Perforation; D008297:Male; D008875:Middle Aged; D010262:Paraphilic Disorders / Q000150:complications*; D012007:Rectum / Q000293:injuries* / Q000601:surgery; D014947:Wounds and Injuries / Q000209:etiology*