• Pediatric emergency care · Apr 2013

    Review Case Reports

    Rectum perforation after broomstick impalement in a 17-year-old: case report and review.

    • Michael Boettcher, Ilias Kanellos-Becker, Katharina Wenke, and Thomas F Krebs.
    • Department of Pediatric Surgery, University Children's Hospital Altona, UKE-Medical School, Hamburg, Germany. michboettcher@gmail.com
    • Pediatr Emerg Care. 2013 Apr 1;29(4):510-2.

    AbstractImpalement injuries are uncommon, especially in the pediatric population. Because of the rarity of these injuries, physicians may have difficulty recognizing and treating impalement injuries appropriately. Clinical findings are sometimes innocuous, but can be life threatening. Therefore, evaluation of suspected impalement injury should involve careful history and thorough physical examination, even if there is no evidence of trauma to the perineum. We report a very rare case of rectum perforation after transanal introduction of a broomstick with almost no clinical findings. Impalement injuries are difficult to recognize, and severity may not be reflected by their external appearance. To diagnose these injuries in time, it is important to use a well-organized workup.

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