title: Unusual extraperitoneal rectal injuries: a retrospective study.
abstract: OBJECTIVE
  Rectal injuries, which are rarely encountered because of the anatomic characteristics, occur due to penetrating traumas. In the current study, we aimed to present experiences gleaned from our clinic concerning rarely encountered unusual rectal injuries, including those cases presented for the first time.
  
  
  METHODS
  Eleven patients who had been treated for unusual rectal injuries in the General Surgery Clinic of Dicle University between 2004 and 2011 were retrospectively reviewed.
  
  
  RESULTS
  The reasons for rectal injuries included foreign bodies in four cases, sexual intercourse in three cases, iatrogenic injuries in two cases, electric shock in one case, and animal horns in one case. All cases had extraperitoneal rectal injuries and all injuries were grade 2 injuries, except for the electrical burn. Primary repair was adequate for the treatment of six patients. Four patients underwent primary repair and ostomy, whereas one of the patients underwent debridement and an ostomy. The patients recovered without complications, except for one patient with sphincter insufficiency.
  
  
  CONCLUSIONS
  The results of the current study suggested that primary repair is adequate in the patients with low-energy injuries and early presentation, whereas an ostomy is required for those with late presentation and for those with high-energy and destructive injuries.
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Gümüş
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Böyük
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Kapan
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Onder
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey. drftaskesen@hotmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Taskesen
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
authors.forename: I
authors.initials: I
authors.lastname: Aliosmanoğlu
authors.affiliation: Department of Anesthesiology and Reanimation, Faculty of Medicine, Dicle University, Diyarbakir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Tüfek
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dicle University, 21280, Diyarbakir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Aldemir
keywords: Injuries and wounds; Rectum; Trauma
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