Extraperitoneal rectal gunshot injuries.
Extraperitoneal rectal gunshot injuries are rare, but may be encountered in civilian practice. We report on a series of 26 such cases. The aim of the study is to attempt to evolve a treatment policy of this injury. The principles of management include the repair of rectal wound in selected cases and the formation of a diverting colostomy. Distal rectal washout and presacral drainage, although advocated by some authors, do not seem to be indispensable adjuncts to the management of these injuries.
Levy
R D
RD
Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa.
Strauss
P
P
Aladgem
D
D
Degiannis
E
E
Boffard
K D
KD
Saadia
R
R
D000293:Adolescent; D000328:Adult; D003125:Colostomy; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D012007:Rectum / Q000293:injuries* / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications / Q000601:surgery*