title: Transanal impalement of double J steel bar with colonic and jejunal injury: A unique pediatric case report.
abstract: Pediatric transanal impalement injuries are relatively uncommon and most are attributed to accidental fall on offending objects, sexual assault or blunt trauma. There may be difficulty in recognizing or properly treating such injuries because their severity may not be reflected externally. Evaluation of suspected rectal impalement injury involves careful history and physical examination and proper investigation. There are very few reports on pediatric perianal impalement with associated visceral injuries. We report a case of assault transanal impalement injury associated with mesenteric tear and jejunal perforation leading to devitalization of proximal jejunum in a 2 year male child and relevant literatures were reviewed. To the best of our knowledge, such dual proximal and distal gastrointestinal injury in such a small child has not been reported in any of the English literature so far.
authors: Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors: Divya
authors: D
authors: Gupta
authors: Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors: Devendra Kumar
authors: DK
authors: Yadav
authors: Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.
authors: Shasanka Shekhar
authors: SS
authors: Panda
authors: Department of Community Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
authors: Meely
authors: M
authors: Panda
authors: Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors: Deepak
authors: D
authors: Bagga
authors: Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors: Samir Kant
authors: SK
authors: Acharya
authors: Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
authors: Nischal
authors: N
authors: Anand
authors: Department of Pediatric Surgery, JIPMER, Puducherry, India.
authors: Bikash Kumar
authors: BK
authors: Naredi
keywords: Assault; impalement injury; pediatric; transanal