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Images in medicine: Diagnosis and pre-surgical triage of transanal rectal injury using multidetector CT with water-soluble contrast enema

Authors
Journal
Journal of Emergencies Trauma and Shock
0974-2700
Publisher
Medknow Publications
Publication Date
Volume
6
Issue
3
Identifiers
DOI: 10.4103/0974-2700.115350
Keywords
  • Pictorial Education
Disciplines
  • Medicine

Abstract

Transanal rectal injuries caused by foreign body insertion, sexual abuse, or iatrogenic procedures represent a very uncommon surgical emergency. Morbidity may be further increased by patient's embarrassment and delayed presentation. Since management decisions largely depend on anatomic and severity assessment, multidetector Computed tomography with rectally administered water-soluble iodinated contrast medium is highly valuable to accurately depict traumatic rectal injuries, and to distinguish between intraperitoneal vs extraperitoneal injuries that require different surgical approaches.

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