Abstract
Peri-anal contracture lead to intestinal obstruction whenever there is involvement of anal orifice. In this case anus and peri-anal skin up to two cm was normal; however both gluteal folds were fused because of post burn scar leaving a very small opening which lead to faecal impaction and sub acute intestinal obstruction.
Highlights
Management of the burn patient is the most challenging condition for the medical staff as the fate of the patient depends on the quality of the management provided during hospital stay and after discharge
Even if the patient recovers from the burn injuries, the development of the deformities overshadow the earlier management. This post burn reconstructive surgery and physiotherapy consultation needs to be made compulsory in the burn units
Examination of perineum showed that both the gluteal folds were fused because of post burn scar and there was a small opening approximately three mm in diameter in the centre (Figure 1)
Summary
Management of the burn patient is the most challenging condition for the medical staff as the fate of the patient depends on the quality of the management provided during hospital stay and after discharge. Even if the patient recovers from the burn injuries, the development of the deformities overshadow the earlier management. This post burn reconstructive surgery and physiotherapy consultation needs to be made compulsory in the burn units. Examination of perineum showed that both the gluteal folds were fused because of post burn scar and there was a small opening approximately three mm in diameter in the centre (Figure 1). It was found that anal verge along with peri-anal skin up to two cm was normal (Figure 2). It was fusion of gluteal folds due to post burn scar which led to sub acute intestinal obstruction.
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