A Case of Impalement Injury of the Rectum and Urinary Bladder with Prolapse of the Ileum

Abstract

Impalement rectal injuries with intraperitoneal organ injuries are rare. We report herein on the successful treatment of an anorectal impalement injury with injury of the rectum and the urinary bladder. An 82-year-old female was accidentally stabbed in the anus with a plastic bar, which was used for mixing hot water in the bathtub. She removed the bar by herself. After the accident she developed lower abdominal pain and the intestine emerged from her anus. When she visited our hospital, she was fully conscious. Abdominal CT showed protrusion of the intestine through the urinary bladder and the rectum. She underwent emergency surgery under general anesthesia. After the laparotomy, part of ileum was observed to be prolapsed into the urinary bladder and the rectum. We repaired these damages and performed a sigmoid colostomy. After surgery, the patient showed satisfactory recovery and was discharged from the hospital on day 21 post-surgery.