Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident
Although motor vehicle accidents (MVAs) in children are common, pediatric rectal perforations secondary to MVAs leading to transanal evisceration of the small bowel are very rare. Herniation of bowel through breach in the rectal wall seen eviscerating through the anus is a surgical emergency requiri...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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Series: | Journal of Indian Association of Pediatric Surgeons |
Subjects: | |
Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=253;epage=255;aulast=Bhosale |
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author | Minakshi Bhosale Ameya Sangle Ganesh Bhat Praveen Dambal |
author_facet | Minakshi Bhosale Ameya Sangle Ganesh Bhat Praveen Dambal |
author_sort | Minakshi Bhosale |
collection | DOAJ |
description | Although motor vehicle accidents (MVAs) in children are common, pediatric rectal perforations secondary to MVAs leading to transanal evisceration of the small bowel are very rare. Herniation of bowel through breach in the rectal wall seen eviscerating through the anus is a surgical emergency requiring laparotomy and necessary surgical procedure. We report case of a 3-year-old boy, victim of run-over MVA accident, presenting with bilateral fracture shaft femur, fracture of the left humerus, and transanal small bowel evisceration. About 30–40 cm long, gangrenous, small bowel loop was hanging outside the anal canal. Two consecutive surgeries were performed to manage this unusual and complex case with an excellent outcome. This report is presented for an extremely rare presentation of MVA injury in a child. |
first_indexed | 2024-12-19T21:34:36Z |
format | Article |
id | doaj.art-eb406229f7ee498ca08b78b33a43a96f |
institution | Directory Open Access Journal |
issn | 0971-9261 1998-3891 |
language | English |
last_indexed | 2024-12-19T21:34:36Z |
publishDate | 2021-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Indian Association of Pediatric Surgeons |
spelling | doaj.art-eb406229f7ee498ca08b78b33a43a96f2022-12-21T20:04:49ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912021-01-0126425325510.4103/jiaps.JIAPS_124_20Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accidentMinakshi BhosaleAmeya SangleGanesh BhatPraveen DambalAlthough motor vehicle accidents (MVAs) in children are common, pediatric rectal perforations secondary to MVAs leading to transanal evisceration of the small bowel are very rare. Herniation of bowel through breach in the rectal wall seen eviscerating through the anus is a surgical emergency requiring laparotomy and necessary surgical procedure. We report case of a 3-year-old boy, victim of run-over MVA accident, presenting with bilateral fracture shaft femur, fracture of the left humerus, and transanal small bowel evisceration. About 30–40 cm long, gangrenous, small bowel loop was hanging outside the anal canal. Two consecutive surgeries were performed to manage this unusual and complex case with an excellent outcome. This report is presented for an extremely rare presentation of MVA injury in a child.http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=253;epage=255;aulast=Bhosalechildmotor vehicle accident injuriesrectal perforationstrangulationtransanal small bowel evisceration |
spellingShingle | Minakshi Bhosale Ameya Sangle Ganesh Bhat Praveen Dambal Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident Journal of Indian Association of Pediatric Surgeons child motor vehicle accident injuries rectal perforation strangulation transanal small bowel evisceration |
title | Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident |
title_full | Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident |
title_fullStr | Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident |
title_full_unstemmed | Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident |
title_short | Transanal small bowel evisceration in a 3-year-old victim of motor vehicle accident |
title_sort | transanal small bowel evisceration in a 3 year old victim of motor vehicle accident |
topic | child motor vehicle accident injuries rectal perforation strangulation transanal small bowel evisceration |
url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=4;spage=253;epage=255;aulast=Bhosale |
work_keys_str_mv | AT minakshibhosale transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident AT ameyasangle transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident AT ganeshbhat transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident AT praveendambal transanalsmallboweleviscerationina3yearoldvictimofmotorvehicleaccident |