title: [Anorectal traumas by impalement in children. Apropos of 3 cases].
abstract: Traumatic impalement is an exceptional cause of anorectal lesions in the child. The clinical diagnosis is sometimes difficult and associated lesions raise the problem of the most appropriate exploratory examination. Based on our experience with three cases, we would emphasize the usefulness of hydrosoluble enema study prudently performed by the surgeon during the preoperative work-up. The precise localization of the lesions must be obtained with careful emergency exploration before repair. Treatment of the trauma includes lavage, drainage and sometimes colostomy. Antibiotics must always be prescribed. Early complications are dominated by infection and long-term sequellae, requiring a long follow-up.
authors.affiliation: Service de Chirurgie Pédiatrique, CHU Morvan, Brest.
authors.forename: C
authors.initials: C
authors.lastname: Dartoy
authors.forename: M P
authors.initials: MP
authors.lastname: Guibal
authors.forename: B
authors.initials: B
authors.lastname: Fenoll
authors.forename: M
authors.initials: M
authors.lastname: Thoma
authors.forename: B
authors.initials: B
authors.lastname: Jehannin
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001003:Anal Canal / Q000293:injuries* / Q000601:surgery; D001004:Anus Diseases / Q000601:surgery; D002648:Child; D003125:Colostomy; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography; D012002:Rectal Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D012007:Rectum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014546:Urinary Catheterization; D014621:Vagina / Q000293:injuries* / Q000601:surgery; D014623:Vaginal Diseases / Q000601:surgery
vernacular_title: Les traumatismes ano-rectaux par empalement chez l'enfant. A propos de trois observations.