TY - JOUR PY - 2003// TI - Rectovaginal injury in a young child. A case report JO - Journal of reproductive medicine A1 - Platt, Julie S. A1 - Lynch, Catherine M. SP - 889 EP - 892 VL - 48 IS - 11 N2 - BACKGROUND: Rectovaginal injuries in children, often the result of trauma, present as emergencies. Associated injuries may include ruptured urethra, bladder, vaginal vault or hollow viscus. CASE: A child younger than 2 years of age sustained a traumatic injury. Thorough examination required the use of skeletal radiography; computed tomography of the head, chest, abdomen and pelvis; and voiding cystourethrogram. Injury was limited to a fourth-degree perineal laceration. The wound was debrided and primarily closed in layered fashion. A diverting colostomy was performed to aid wound healing. Six weeks later, after wound resolution, colonic anastomosis was performed. CONCLUSION: Rectovaginal laceration in a child under the age of 13 requires thorough evaluation to identify the extent of traumatic injury. A diverting colostomy enhances wound healing.
Language: en
LA - en SN - 0024-7758 UR - http://dx.doi.org/ ID - ref1 ER -