[Transanal evisceration of small bowel caused by impalement in children: about a case].
Eviscération transanale de l´intestin grêle par empalement chez l´enfant: à propos d´un cas.
Senegal
Transanal Evisceration
child
impalement
small bowel
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2020
2020
Historique:
received:
09
02
2019
accepted:
21
02
2019
entrez:
3
3
2021
pubmed:
4
3
2021
medline:
10
3
2021
Statut:
epublish
Résumé
Transanal evisceration of the small intestine caused by impalement is exceptional among children. We report the case of an 11-year old girl with intestinal loops eviscerating through the anus due to a fall on a sharp piece of wood which stuck into her, occurring two hours before hospitalization. On examination, his general condition was good, with transanal evisceration of approximately 25 cm of viable small bowel through the anus and abdominal tenderness. Preoperative laboratory tests were normal and no imaging test was performed. After resuscitation, surgical exploration was performed which showed serohematic fluid collection (300 ml) and evisceration of approximately 60 cm of inflammated intestinal loops through a rupture of approximately 5 cm of the anterior wall of the rectum. Reduction of the eviscerated intestinal loops by gentle traction, repair of the rectal wall by separated sutures, wash and drainage were performed. The patient received broad-spectrum antibiotic. The operating suites were simple with a resumption of transit two days after surgery. The patient was discharged seven days after surgery. After a follow-up period of one month, the patient came for a further consultation and clinical examination was normal.
Identifiants
pubmed: 33654538
doi: 10.11604/pamj.2020.37.320.18332
pii: PAMJ-37-320
pmc: PMC7896525
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Langues
fre
Sous-ensembles de citation
IM
Pagination
320Informations de copyright
Copyright: Ibrahima Bocar Wellé et al.
Déclaration de conflit d'intérêts
Les auteurs ne déclarent aucun conflit d'intérêt.
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