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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="healthcare" lang="en"><front><journal-meta><journal-id journal-id-type="publisher">IJCRR</journal-id><journal-id journal-id-type="nlm-ta">I Journ Cur Res Re</journal-id><journal-title-group><journal-title>International Journal of Current Research and Review</journal-title><abbrev-journal-title abbrev-type="pubmed">I Journ Cur Res Re</abbrev-journal-title></journal-title-group><issn pub-type="ppub">2231-2196</issn><issn pub-type="opub">0975-5241</issn><publisher><publisher-name>Radiance Research Academy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1084</article-id><article-id pub-id-type="doi"/><article-id pub-id-type="doi-url"/><article-categories><subj-group subj-group-type="heading"><subject>Healthcare</subject></subj-group></article-categories><title-group><article-title>TRAUMATIC RECTAL PERFORATION MANAGED BY SIMPLE CLOSURE WITHOUT COLOSTOMY&#13;
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Saravanan</surname><given-names>A.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ganesan</surname><given-names>G.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Nathan</surname><given-names>K. Vivekananda Subramania</given-names></name></contrib></contrib-group><pub-date pub-type="ppub"><day>19</day><month>10</month><year>2013</year></pub-date><volume>)</volume><issue/><fpage>88</fpage><lpage>90</lpage><permissions><copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p></license></permissions><abstract><p>Generally traumatic rectal perforations are managed by doing diverting colostomy along with simple closure. Here we are reporting a case of traumatic rectal perforation which is managed by doing simple closure alone without diverting colostomy. About 95% of rectal injuries are due to penetrating injuries. Rectal injuries due to blunt trauma are rare but have more disastrous outcome .Extraperitoneal perforations of the lower part of the rectum are usually due to blunt injury and access to the area of perforation and closure is extremely tough. Hence extraperitoneal perforation has a bad prognosis and always requires diverting colostomy. Large intraperitoneal perforations of the upper part of the rectum involving the anterior wall are commonly associated with concomitant injuries and always require diverting colostomy. Patients presenting late are usually associated with severe peritoneal contamination and have bad prognosis and always require diverting colostomy. But small intraperitoneal perforations of the posterior wall of the upper part of the rectum are not commonly associated with concomitant injuries like in the patient reported below and do not require diverting colostomy, if the patient presents early without serious peritoneal contamination.&#13;
</p></abstract><kwd-group><kwd>Rectal perforations</kwd><kwd> simple closure</kwd><kwd> diverting colostomy.</kwd></kwd-group></article-meta></front></article>
