Traumatic tear of the rectum penetrating the peritoneal cavity: a case report

Andrzej Żyluk, Filip Fliciński, Piotr Wojtasik


Anal and rectal injuries are rather uncommon in surgical practice. They are mainly caused at traffic accidents, sexual assaults, harmful voluntary, and eccentric sexual activities, or medical measures. Spectrum of these injuries is wide – from minor wounds of anodermy or rectal mucosa, until rectal tears penetrated the peritoneal cavity. A case of an accidental, intraperitoneal injury of the rectum caused by a wooden broomstick is presented. The range of trauma was diagnosed based on computed tomography imaging of the abdomen and treatment consisted in the resection of the damaged fragment of the rectum followed by end colostomy. The post-operative course was uneventful. The authors emphasize the necessity of a careful evaluation of these injuries, because any delay in the treatment may result in serious, even fatal complications.


anorectal injury; peritonitis; end-colostomy; Hartmann’s operation

Full Text:



Revell MA, Pugh MA, McGhee M. Gastrointestinal traumatic injuries: gastrointestinal perforation. Crit Care Nurs Clin North Am 2018;30(1):157-66.

Roche B, Michel JM, Deléaval J, Peter R, Marti MC. Traumatic lesions of the anorectum. Swiss Surg 1998;5:249-52.

Jones JG, Worthington T. Genital and anal injuries requiring surgical repair in females less than 21 years of age. J Pediatr Adolesc Gynecol 2008;21(4):207-11.

Merritt DF. Genital trauma in children and adolescents. Clin Obstet Gynecol 2008;51(2):237-48.

Lippert H, Falkenberg B. Strategy and technique in perineal impalement injuries. Chirurg 2001;72(12):1402-6.

Abu-Zidan FM, Abusharia MI, Kessler K. Surgeon-performed sonographic findings in a traumatic trans-anal rectal perforation. World J Emerg Surg 2011;6:26. doi: 10.1186/1749-7922-6-26.

Shatnawi NJ, Bani-Hani KE. Management of civilian extraperitoneal rectal injuries. Asian J Surg 2006;29(1):11-6.

Boettcher M, Kanellos-Becker I, Wenke K, Krebs TF. Rectum perforation after broomstick impalement in a 17-year-old: case report and review. Pediatr Emerg Care 2013;29(4):510-2.

Passarelli R, Elyaguov J, Fox C, Bergamaschi R, Matthews G. Combined intra- and extra-peritoneal bladder perforation following rectal impalement injury. Urol Case Rep 2020;34:101489. doi: 10.1016/j.eucr.2020.101489.

Żak D, Dybiec P, Obara A. Niezwykłe ciało obce w esicy. Lek Wojsk 1998;74(1-2):98-101.

Kralisz M, Romatowski JA, Szałaj W. Niecodzienne ciało obce w jelicie grubym – trudności diagnostyczne. Gastroenterol Pol 1996;3-4:387-8.


Copyright (c) 2023 Andrzej Żyluk, Filip Fliciński, Piotr Wojtasik

License URL: