Traumatic rectal hematoma following anal rape.
We describe the case of a 28-year-old male prisoner with a traumatic rectal hematoma caused by anal rape. Barium enema showed a large rectal mass confirmed to be a hematoma by proctoscopic examination. Surgery was performed due to a falling hemoglobin level, and an 800-mL hematoma was evacuated. The patient became febrile following surgery, and computed tomography revealed a pelvic mass consistent with recurrent hematoma or abscess. Repeat surgery showed recurrent hematoma. The patient recovered uneventfully.
D000328:Adult; D004630:Emergencies; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006716:Homosexuality; D006801:Humans; D008297:Male; D011329:Prisoners; D011902:Rape; D012002:Rectal Diseases / Q000209:etiology*; D012007:Rectum / Q000293:injuries*