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Article
May 24, 1924

TRAUMATIC INJURY OF THE RECTUM: REPORT OF CASE

Author Affiliations

WASHINGTON, D. C.

JAMA. 1924;82(21):1684-1685. doi:10.1001/jama.1924.02650470024011
Abstract

In looking over the literature, including that at the Surgeon General's Library, on injuries to the rectum, I have been unable to find a case similar to the one reported here. Gant epitomizes sixty-four cases that fell under his personal observation. These may be classified as:

  1. Those due to injury from foreign bodies, either during instrumentation or as result of accident. Among these, fish-hooks, gunshot wounds, falling on palings or stabs, and use of the speculum and dilators play a conspicuous part.

  2. Rupture of the sphincter due to pederasty, or of the perineum during parturition. Rupture of the rectovaginal septum during copulation.

  3. Rectovaginal rent induced by rectal distention with an air-filled rubber bag.

  4. Perforation of the rectum by foreign bodies left in the abdomen.

  5. Ulceration due to phenol (carbolic acid) or turpentine.

The anatomic structures most usually affected are the rectum or sigmoid, urethra, one or both sphincters, the

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