No other injuries are identified. Presacral closed-suction drains are placed. Discussion Injuries to the rectum bare similarity to those of the colon. However, since two thirds of the rectum is extraperitoneal and difficult to access, treatment options differ. In addition to the usual ATLS style evaluation, careful examination of the perineal area including genitalia and GU systems.
Rigid proctoscopy is helpful in localizing the lesion in hemodynamically stable patients.
Arguments have been made as to whether civilian penetrating trauma is equivalent to military. However, diverting colostomy with drainage remains as a standard. Much discussion has surrounded the type of colostomy. Management options in penetrating rectal injuries. Management of rectal trauma.