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Missed Rectal Injury

Missed Rectal Injury 

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  #1  
06-11-2010, 03:30 AM
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Missed Rectal Injury

A 22 year old man presented to the trauma centre 3 days following a stab wound to the right buttock. He had initially been seen at another hospital where a 1.5cm wound to the outer aspect of the right buttock had been cleaned and stitched. He represented due to pain in the buttock and appearance of a 4cm black patch around the buttock wound. He had never complained of any rectal pain or bleeding.

Examination at the trauma centre included digital rectal examination and rigid sigmoidoscopy/proctoscopy, revealing some blood and pus and an injury to the lateral rectal wall. The patient was transferred immediately to the operating room for debridement of the buttock wound and defunctioning colostomy. On the operating table the nectroci patch on the buttock had expanded to approximately 8cm in diameter. Debridement was commenced but could not keep pace with the rapidly spreading necrotizinf fasciitis.
....The patient eventually died on the operating table when it became apparent the sepsis had spread to include his upper and lower limbs.
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  #2  
06-11-2010, 03:55 AM
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Re: Missed Rectal Injury

cut me off a piece and slap some BBQ on that
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  #3  
06-11-2010, 08:36 AM
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Re: Missed Rectal Injury

Wow... Looks like a giant elephant vagina mid menstrual growing off his side.
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  #4  
06-11-2010, 08:51 AM
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Re: Missed Rectal Injury

  #5  
06-11-2010, 11:21 AM
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Re: Missed Rectal Injury

  #6  
06-11-2010, 12:10 PM
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Re: Missed Rectal Injury

  #7  
06-11-2010, 12:19 PM
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Re: Missed Rectal Injury

from a simple stab wound?
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  #8  
06-11-2010, 03:39 PM
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Re: Missed Rectal Injury

from a simple stab wound?
infections are nasty little shits
  #9  
06-11-2010, 03:40 PM
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Re: Missed Rectal Injury

ouch that must hurt
  #10  
01-26-2012, 04:19 PM
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Re: Missed Rectal Injury

Wonder what hospital he went to the first time
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