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Anorectal Injury is a topic covered in the Pediatric Surgery NaT.

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Perineal injury in children is uncommon and can be due to blunt trauma, impalement, accidental falls and child abuse. Blunt perineal injury can be attributed to compression of soft tissue against the boney pelvis causing severe injury and accounts for eight to 10% of all perineal injuries [1][2][3]. Accidental injuries occur when the child falls on or straddles a sharp or blunt object and sustains a bruise, contusion, laceration or penetration depending on the height of the fall and the object straddled or impaled. Accidental falls involve the external genitalia, urethra, perineal body, labia, anus and rarely the rectum. Pediatric sexual abuse cases usually involve isolated injuries involving the rectum or vagina. Impalement injuries are very uncommon and are due to accidental falls or child abuse [4][5]. Sexual abuse and firearm trauma are the most common reported causes of anorectal trauma in developed countries while motor vehicle collisions only account for 10% of cases. Anorectal trauma is almost twice as common in boys as girls [2].

see also Anorectal Repair for Trauma

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Last updated: April 10, 2017


Keller, Martin S, et al. "Anorectal Injury." Pediatric Surgery NaT, American Pediatric Surgical Association, 2017. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829094/all/Anorectal_Injury.
Keller MS, Abd el-shafy I, Prince JM, Price M. Anorectal Injury. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2017. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829094/all/Anorectal_Injury. Accessed June 16, 2019.
Keller, M. S., Abd el-shafy, I., Prince, J. M., & Price, M. (2017). Anorectal Injury. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829094/all/Anorectal_Injury
Keller MS, Abd el-shafy I, Prince JM, Price M. Anorectal Injury [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2017. [cited 2019 June 16]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829094/all/Anorectal_Injury.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Anorectal Injury ID - 829094 A1 - Keller,Martin,MD AU - Abd el-shafy,Ibrahim,MD AU - Prince,Jose,MD AU - Price,Mitchell,MD ED - Waldhausen,John, ED - Powell,David, ED - Hirschl,Ron, Y1 - 2017/04/10/ BT - Pediatric Surgery NaT UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829094/all/Anorectal_Injury PB - American Pediatric Surgical Association DB - APSA Webapp DP - Unbound Medicine ER -