Abstract
Anal and rectal traumas are relatively rare (with the exception of iatrogenic damage) due to the anatomical position of the anorectum. The anal canal is injured more frequently due to its relatively superficial position, but injuries involving the extraperitoneal rectum, although more rare, tend to be much more severe and may affect the surrounding organs.
Intraperitoneal rectal injury is associated with bleeding or perforation and may lead to peritonitis and diffuse contamination of the abdominal cavity. The decisive factor is the early detection of the injury and early initiation of treatment.
The first step in surgical treatment of severe anorectal injury is the control of massive bleeding and volume resuscitation. The aim of the surgery is to preserve life, control infections and to preserve the patient's anal continence and evacuation function.