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Anal trauma caused by bull-horn injury.
Jara Benedetti, G; Maiocchi Segredo, K; Martínez Hernández, A; Pastor Mora, J.
Afiliación
  • Jara Benedetti G; General and Digestive Surgery Department, Hospital Universitario de Castellon, Avenida Benicassim 128, 28003, Castellon, Spain. genesisjara1708@gmail.com.
  • Maiocchi Segredo K; General and Digestive Surgery Department, Hospital Universitario de Castellon, Avenida Benicassim 128, 28003, Castellon, Spain.
  • Martínez Hernández A; General and Digestive Surgery Department, Hospital Universitario de Castellon, Avenida Benicassim 128, 28003, Castellon, Spain.
  • Pastor Mora J; Professor of Medicine, Jaume I University, Castellon, Spain.
Tech Coloproctol ; 28(1): 19, 2023 12 19.
Article en En | MEDLINE | ID: mdl-38112865
ABSTRACT

BACKGROUND:

Bullfighting festivals are commonly performed at Spain. Perineal trauma due to bull-horn injury is associated with high morbidity due to sphincteric associated lesions

METHODS:

We report a case of 37-year-old male patient with anal trauma due to a bull-horn injury involving the sphincter complex, treated in our Emergency department

RESULTS:

Urgent surgery was performed with primary sphincteroplasty, without performing a colostomy. The associated complication was a partial dehiscence of the surgical wound (Clavien-Dindo I). No transfusions, re-interventions or readmissions were registered. The degree of incontinence at discharge and after 12 month follow-up, according to the Wexner scale was 8 points and 2 points, respectively.

CONCLUSIONS:

The main treatment of bull-horn injuries is extensive surgical debridement, antibiotic therapy, and lavage of the area. In cases involving the anal sphincter, primary sphincteroplasty is recommended. The modern trend does not include the systematic performance of a colostomy however, it has been described in cases with catastrophic wounds and urological lesions associated.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Canal Anal Límite: Adult / Animals / Humans / Male Idioma: En Revista: Tech Coloproctol Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: España Pais de publicación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Canal Anal Límite: Adult / Animals / Humans / Male Idioma: En Revista: Tech Coloproctol Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: España Pais de publicación: Italia