Perineal injuries in children.


Journal Article

Over a 12-year period, 463 children under 13 years of age were treated for perineal injuries. The most common cause of injury was a fall astride, but motor vehicle trauma and rape were responsible for most of the severe and multiple injuries. Physical or sexual abuse was evident in 178 (38 per cent) of children, and four sustained injuries from forceful enema. Minor abrasions or first degree tears (88 per cent) and second degree tears (6 per cent) were sutured primarily or allowed to granulate with sepsis rates of 1.2 per cent and 14 per cent respectively. Twenty-nine (6 per cent) children sustained third degree lacerations; one died from secondary pelvic haemorrhage. In the 28 survivors, the outcome of primary (18) or delayed (ten) surgical repair was related to whether or not early defunctioning colostomy had been performed.

Full Text

Cited Authors

  • Jones, LW; Bass, DH

Published Date

  • September 1, 1991

Published In

Volume / Issue

  • 78 / 9

Start / End Page

  • 1105 - 1107

PubMed ID

  • 1933197

Pubmed Central ID

  • 1933197

Electronic International Standard Serial Number (EISSN)

  • 1365-2168

International Standard Serial Number (ISSN)

  • 0007-1323

Digital Object Identifier (DOI)

  • 10.1002/bjs.1800780922


  • eng