Manejo diagnóstico y terapéutico en el trauma del recto intraperitoneal

Abstract

ABSTRACT INTRODUCTION: Abdominal trauma is urgent in the health field where important organs such as the rectum can be injured and can cause serious complications that could lead to the death of the patient if adequate management is not carried out, which has been described since 1941 in military conflicts. OBJECTIVE: to identify current diagnostic and therapeutic methods in patients with intraperitoneal rectal trauma through a bibliographic review in PubMed and LILACS databases in the last 5 years that serves as a source of consultation in the field of teaching and hospital care. METHODS: An updated bibliography review was carried out based on updated scientific journals due to their significant relevance in both the medical and scientific fields, where articles published in the last 5 years were chosen, which includes all works based on bibliographic reviews, comparative studies, good clinical practice guidelines, clinical trials and observational studies. CONCLUSION: Rectal trauma is an important clinical-surgical situation due to its anatomical characteristics and its adjacent organs where its etiology is mainly related to trauma from firearm projectiles, blunt trauma and impalements. The diagnosis of this entity is based on a traditional rectal examination, contrasted CT that can be complemented with sigmoidoscopy and its treatment is not specific since it can range from a simple suture to a resection of the affected area with or without colostomy.