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Abstract
RÉSUMÉ
L’éviscération trans-anale de l’intestin grêle lors d’un traumatisme anorectal par encornement est rare. Nous rapportons le cas d’un garçon de 11ans, admis aux urgences de l’hôpital de Sikasso pour un traumatisme anorectal par un encornement de bœuf avec une éviscération trans-anale de l’intestin grêle. Le traumatisme anorectal est survenu lors des travaux champêtres Nous avons réalisé une laparotomie exploratrice qui a permis de mettre en évidence une perforation de 3cm de diamètre de la face antérieure de l’ampoule rectale ; par cette perforation s’étaient invaginer 50cm de l’intestin grêle. Nous avons procédé à une suture de la perforation rectale, une toilette abondante des anses grêles au sérum salé physiologique et de leur réintégration. Nous nous proposons de faire une revue de la littérature afin de discuter les modalités thérapeutiques.
ABSTRACT
Trans-anal evisceration of the small intestine during anorectal trauma by gornment is rare.
We report the case of an 11 yearS old boy, admitted to the emergency room of the Sikasso hospital for anorectal trauma by goring of beef with trans-anal evisceration of the small intestine. The anorectal trauma occurred during work in the field. We performed an exploratory laparotomy which revealed a 3cm diameter perforation of the anterior face of the rectal ampulla; through this perforation had invaginated 50cm of the small intestine.
We proceeded to suture the rectal perforation, an abundant cleansing of the small intestine with physiological saline and its reintegration.We propose to review the literature in order to discuss the therapeutic modalities.
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References
- Bâ PA, Soumah SA, Diop B, Traoré MM, Mahdi C, Mbaye EM et al. Transanal evisceration of the small intestine in a child secondary to blunt trauma to the abdomen: report of a case. Pan Afr Med Journal. 2011; 10:50. Pub Med | Google Scholar
- Corduk N, Koltuksuz U, Karabul M, Savran B, Bagci S, Sarioglu-Buke A. A rare presentation of crush injury: transanal small bowel evisceration - Case report and review of the literature. Pediatr Surg Int. 2011; 27(9):1021-4. This article on Pub Med
- Ibrahima Bocar Wellé, Pape Alassane Mbaye, Ndéye Fatou Séck, Ndéye Aby Ndoye, Doudou Guéye, et al. Eviscération transanale de l´intestin grêle par empâlement chez l´enfant: à propos d´un cas. Pan African Medical Journal. 2020; 37:320. [doi: 10.11604/pamj.2020.37.320.18332]
- Sengar M, Neogi S, Mohta A. Prolapse of the rectum associated with spontaneous rupture of the distal colon and evisceration of the small intestine through the anus in an infant. J Pediatr Surg. 2008; 43(12):2291-2. This article on PubMed
- Price NR, Soundappan SV, Sparnon AL, Cass DT. Swimming pool filter-induced transrectal evisceration in children: Australian experience. Med J Aust. 2010 May 3;192(9):534-6. This article on Pub Med
- Juern J, Schmeling D, Feltis B. Transanal wading pool suction-drain injury resulting in complete evisceration of the small intestine: case report and review of the literature. J Pediatr Surg. 2010 Apr; 45(4):E1-3. Pub Med | Google Scholar
- Press S, Grant P, Thompson VT, Milles KL. Small Bowel Evisceration: Unusual Manifestation of Child Abuse. Pediatrics. 1991; 88(4):8079. This article on Pub Med
- Qureshi MI. Rectal tear causing prolapsed ileum after closed abdominal. Injury. 1977; 9(2):168-9. This article on Pub Med
- Roy AK, Shukla P, Singh S. Rectal perforation and evisceration of the small intestine: a rare injury in blunt trauma of the abdomen. J Trauma. 2009; 66(1):286. This article on Pub Med
- Bronkhorst MW, Wilde JCH, Hamming JF, Heij HA. Anorectal impalement in a pediatric patient with transanal evisceration of small bowel. J Pediatr Surg. 2007; 42(9):23-5. Pub Med | Google Scholar
- Kim S, Linden B, Cendron M, Puder M. Pediatric anorectal impalement with bladder rupture: case report and review of the literature. J Pediatr Surg. 2006;41(9):1-3. Pub Med | Google Scholar
References
Bâ PA, Soumah SA, Diop B, Traoré MM, Mahdi C, Mbaye EM et al. Transanal evisceration of the small intestine in a child secondary to blunt trauma to the abdomen: report of a case. Pan Afr Med Journal. 2011; 10:50. Pub Med | Google Scholar
Corduk N, Koltuksuz U, Karabul M, Savran B, Bagci S, Sarioglu-Buke A. A rare presentation of crush injury: transanal small bowel evisceration - Case report and review of the literature. Pediatr Surg Int. 2011; 27(9):1021-4. This article on Pub Med
Ibrahima Bocar Wellé, Pape Alassane Mbaye, Ndéye Fatou Séck, Ndéye Aby Ndoye, Doudou Guéye, et al. Eviscération transanale de l´intestin grêle par empâlement chez l´enfant: à propos d´un cas. Pan African Medical Journal. 2020; 37:320. [doi: 10.11604/pamj.2020.37.320.18332]
Sengar M, Neogi S, Mohta A. Prolapse of the rectum associated with spontaneous rupture of the distal colon and evisceration of the small intestine through the anus in an infant. J Pediatr Surg. 2008; 43(12):2291-2. This article on PubMed
Price NR, Soundappan SV, Sparnon AL, Cass DT. Swimming pool filter-induced transrectal evisceration in children: Australian experience. Med J Aust. 2010 May 3;192(9):534-6. This article on Pub Med
Juern J, Schmeling D, Feltis B. Transanal wading pool suction-drain injury resulting in complete evisceration of the small intestine: case report and review of the literature. J Pediatr Surg. 2010 Apr; 45(4):E1-3. Pub Med | Google Scholar
Press S, Grant P, Thompson VT, Milles KL. Small Bowel Evisceration: Unusual Manifestation of Child Abuse. Pediatrics. 1991; 88(4):8079. This article on Pub Med
Qureshi MI. Rectal tear causing prolapsed ileum after closed abdominal. Injury. 1977; 9(2):168-9. This article on Pub Med
Roy AK, Shukla P, Singh S. Rectal perforation and evisceration of the small intestine: a rare injury in blunt trauma of the abdomen. J Trauma. 2009; 66(1):286. This article on Pub Med
Bronkhorst MW, Wilde JCH, Hamming JF, Heij HA. Anorectal impalement in a pediatric patient with transanal evisceration of small bowel. J Pediatr Surg. 2007; 42(9):23-5. Pub Med | Google Scholar
Kim S, Linden B, Cendron M, Puder M. Pediatric anorectal impalement with bladder rupture: case report and review of the literature. J Pediatr Surg. 2006;41(9):1-3. Pub Med | Google Scholar