title: Complex rectal and anal canal injuries secondary to unusual blunt perineal trauma.
abstract: A 27-year-old woman sustained a trauma to her perineal area when she was ejected from a jet ski while riding on water at high speed. The patient presented to the emergency department with blood streaking from her anal canal. Imaging revealed pneumoperitoneum. Surgical intervention showed complex anal canal and rectal injuries. Primary repair of the injuries was performed. Postoperatively the patient did well and was followed up with no evidence of residual symptoms and with a continent anal sphincter.
authors.affiliation: AUBMC, Beirut, Lebanon.
authors.forename: Mustapha A
authors.initials: MA
authors.lastname: El Lakis
authors.affiliation: Department of Surgery, Habib Medical Group, Riyadh, Saudi Arabia.
authors.forename: Khaled
authors.initials: K
authors.lastname: Rida
authors.affiliation: Department of Surgery, American University of Beirut, Beirut, Lebanon.
authors.forename: Ram
authors.initials: R
authors.lastname: Nakhle
authors.affiliation: Department of Surgery, American University of Beirut, Beirut, Lebanon.
authors.forename: George
authors.initials: G
authors.lastname: Abi Saad
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D010502:Perineum / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000601:surgery; D012007:Rectum / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery