title: Anorectal avulsion: Management of a rare rectal trauma.
abstract: BACKGROUND
  Traumatic injuries of the rectum are unusual even though their treatment is challenging and often lead to high morbidity and mortality rate.
  
  
  METHODS
  This paper reports a rare case of complete rectal avulsion with multiple fracture and hemoperitoneum treated with a multistep approach in our department.
  
  
  CONCLUSIONS
  The anorectal avulsion is a rare rectal trauma; only few reports are available. Treatment key points of rectal trauma are: direct repair, diverting stoma and sacral drainage.
  
  
  CONCLUSIONS
  We reported a case of anorectal avulsion with complete detachment of external sphincter muscle. A multidisciplinary approach was mandatory in this kind of lesions.
authors.affiliation: Department of General Surgery, Ascalesi Hospital - ASL NA1, Naples, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Rispoli
authors.forename: J
authors.initials: J
authors.lastname: Andreuccetti
authors.forename: L
authors.initials: L
authors.lastname: Iannone
authors.forename: M
authors.initials: M
authors.lastname: Armellino
authors.forename: G
authors.initials: G
authors.lastname: Rispoli