A Rare Case of Anorectal Injury with Ruptured Bladder and Rectum but Normal Anal Sphincter

Abstract

Anorectal injuries are rare in children. These injuries mostly occur with two major mechanisms; 1) sexual abuse, and 2) penetrating trauma. Coincident injury of rectum and bladder following anorectal trauma has been rarely reported. Here, we describe an anorectal injury in a 15-year-old boy due to falling off a tree leading to anorectal trauma by a stick. After the trauma, the patient experienced hematuria and generalized abdominal pain and tenderness. In anal area inspection, anal sphincter was intact and there were no evidences of trauma. The patient underwent anoscopy and exploratory laparotomy and omentum was extruded. The patient was treated by repair of lacerations and retraction of omentum.