Traumatic separation of the pubic symphysis is a serious, infrequent and potentially life-threatening medical emergency. Rectal laceration is a rare associated finding. A case of traumatic separation of the pubic symphysis associated with a deep perineal tear is reported. The mechanism of injury, preoperative care and operative management of this type of injury are discussed.
VitaleG.C., RichardsonJ.D., FlintL.M.Successful management of injuries to the extraperitoneal rectum. Am Surg1983; 49(3): 159–62.
2.
LevineJ.H., LongoW.E., PruittC., MazuskiJ.E., ShapiroM.J., DurhamR.M.Management of selected rectal injuries by primary repair. Am J Surg1996; 172(5): 575–9.
3.
KouraklisG., MisiakosE., DovasN., KaratzasG., GogasJ.Management of foreign bodies of the rectum: report of 21 cases. J R Coll Surg Edinb1997; 42(4): 246–7.
4.
McGrathV., FabianT.C., CroceM.A., MinardG., PritchardF.E.Rectal trauma: management based on anatomic distinctions. Am Surg1998; 64(12): 1136–41.
BartoloD.C., PatersonH.M.Anal incontinence. Best Pract Res Clin Gastroenterol2009; 23(4): 505–15.
8.
MagenA.B., MoserR.P.Jr, WoomertC.A., GuidiciM.A.Septic arthritis of the hip: a complication of a rectal tear associated with pelvic fractures. Am J Roentgenol1991; 157(4): 817–8.