Abstract
Pediatric rectal impalement injury is relatively rare. We report a case of rectal impalement injury associated with urinary tract damage. An 11-year-old boy fell down from a chair, and a broken leg of the chair stuck into his anus. The piece of stuck leg was removed by his family. At the emergency room, penetrated rectal injury was diagnosed by proctoscopy. He was transferred to our hospital for further evaluation and treatment. CT scan revealed injuries of the rectum, seminal vesicles and bladder. An emergency operation was performed 8 hours after injury. Laparoscopic examination revealed intact intra-abdominal organs, except for the bladder perforation. Repair of the bladder was performed laparoscopically, followed by sigmoid colostomy. The postoperative course was uneventful. Based on our results, laparoscopic evaluation was useful in the treatment of pediatric rectal impalement.
