title: Wooden stick penetration from the perineal region up to the thorax.
abstract: BACKGROUND
  Penetrating injuries of the perineum are rare but very dangerous. Since the genitourinary and colorectal organs may be injured, how to evaluate surgical management of the injury is very important.
  
  
  METHODS
  The present report presents a case of penetrating injury of the perineum by a wooden stick when the patient fell on the upright wooden stick from a tree. The three feet long stick entered the perineal region just left lateral to the anal opening. Upon reaching the thoracic cavity, it broke and only a foot stick was left in the subcutaneous plane. These injuries are potentially serious with risk of damage to multiple organs. Exploratory laprotomy was done, and bladder injury was repaired. The entry wound and the track of stick was thoroughly washed and allowed for secondary intention healing.
  
  
  RESULTS
  The post operative period was uneventful and the patient recovered fully.
  
  
  CONCLUSIONS
  Meticulous evaluation and surgical management of perineal injuries are the key to prevent devastating complications.
authors.affiliation: V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
authors.forename: Khem Pal
authors.initials: KP
authors.lastname: Singh
authors.affiliation: V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Joshi
authors.affiliation: V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
authors.forename: Mohit Kumar
authors.initials: MK
authors.lastname: Joshi
authors.affiliation: V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
authors.forename: Chitra
authors.initials: C
authors.lastname: Joshi
authors.affiliation: V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
authors.forename: Mridu
authors.initials: M
authors.lastname: Singh
authors.affiliation: V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
authors.forename: Vikram
authors.initials: V
authors.lastname: Singh
keywords: Penetrating injury; Perineal injuries; Perineal region