[Traumatic perforation of the anorectal canal].
BACKGROUND
Traumatic perforation of the anorectal canal in children is relatively uncommon. There may be difficulties in recognizing or properly treating such injuries because their severity may not be reflected accurately by the external appearance of the perineum.


METHODS
This was a retrospective survey of 19 children with anorectal rupture injuries secondary to blunt trauma and perforating mechanisms.


RESULTS
Sixteen (89.4%) were male and 15 (77.0%)suffered perforation after al fall on a sharp tool. All were admitted more than 12 hours after accident. Twelve (63.0%) had transanal extra-peritoneal injuries and 13 (68.4%) patients underwent colostomy.


CONCLUSIONS
The majority of these perforations are caused by falls at play. The current standard principles in the treatment of anorectal injuries in children and wound drainage, broad-spectrum antibiotics and frequently fecal diversion.
Baeza-Herrera
Carlos
C
Departamento de Cirugía, Hospital Peciátrico Moctezuma, México, DF.
Jiménez-González
Newton
N
Osorio-Agüero
Cecilia Dinorah
CD
Nájera-Garduño
Heladio M
HM
Sanjuán-Fabián
Héctor
H
D000293:Adolescent; D001003:Anal Canal / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008297:Male; D012007:Rectum / Q000293:injuries*; D012189:Retrospective Studies