Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 217-219

Transanal impalement of double J steel bar with colonic and jejunal injury: A unique pediatric case report

1 Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
2 Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India
3 Department of Community Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
4 Department of Pediatric Surgery, JIPMER, Puducherry, India

Correspondence Address:
Dr. Devendra Kumar Yadav
Department of Pediatric Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-9668.149186

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Pediatric transanal impalement injuries are relatively uncommon and most are attributed to accidental fall on offending objects, sexual assault or blunt trauma. There may be difficulty in recognizing or properly treating such injuries because their severity may not be reflected externally. Evaluation of suspected rectal impalement injury involves careful history and physical examination and proper investigation. There are very few reports on pediatric perianal impalement with associated visceral injuries. We report a case of assault transanal impalement injury associated with mesenteric tear and jejunal perforation leading to devitalization of proximal jejunum in a 2 year male child and relevant literatures were reviewed. To the best of our knowledge, such dual proximal and distal gastrointestinal injury in such a small child has not been reported in any of the English literature so far.

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