title: Straddle injury with anal sphincter and rectal rupture in a young girl Case report.
abstract: As a result of increasing sport or car accident, straddle injuries in pediatric age are becoming increasingly frequent. Mild lesions of the external genitalia and urinary apparatus, are mainly observed in blunt trauma, whereas more severe lesions are reported in penetrating injuries; however, ano-rectal involvement alone, has been reported very rarely and especially in penetrating trauma. We describe herein a case of straddle trauma occurring in a 14yr old girl involved in a car accident. The girl reported anal sphincter rupture and rectal wall tear with a blunt mechanism. No other involvement of genitourinary apparatus was observed. The diagnostic and surgical approach of this rare consequence of a straddle, blunt injury are described and commented.
  
  
  BACKGROUND
  Anal sphincter rupture, Emergency laparoscopy, Perineal trauma, Rectal lesion, Straddle injury.
authors.forename: Renato
authors.initials: R
authors.lastname: Pietroletti
authors.forename: Federica
authors.initials: F
authors.lastname: Delreno
authors.forename: Amalia
authors.initials: A
authors.lastname: D'Orsi
authors.forename: Stefano
authors.initials: S
authors.lastname: Caoci
authors.forename: Francesco
authors.initials: F
authors.lastname: Carlei
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D001003:Anal Canal / Q000293:injuries* / Q000601:surgery; D003125:Colostomy / Q000379:methods; D005260:Female; D006801:Humans; D010502:Perineum / Q000293:injuries; D011183:Postoperative Complications / Q000517:prevention & control; D012007:Rectum / Q000293:injuries* / Q000601:surgery; D012421:Rupture / Q000601:surgery*; D058106:Wound Closure Techniques; D014949:Wounds, Nonpenetrating / Q000601:surgery*