Perineal Impalement by Steel Rod with Missed Colorectal Injury: A case Report

Perineal Impalement by Steel Rod with Missed Colorectal Injury: A case Report | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Short Report Perineal Impalement by Steel Rod with Missed Colorectal Injury: A case Report AYMAN This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7004606/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Perineal impalement is uncommon type of the penetrating injuries; however, they constitute life-threatening events that can carry high morbidity and mortality. The objective of this case study is to highlight the importance of accurate patient assessment and resuscitation following the impalement trauma even in the presence of a trivial external entry wound at the perineum to exclude any missed intra-abdominal organ injury. It is a case report of a 34-year construction worker that impaled his perineal region by falling on a steel rod that was extracted at the scene of the accident; however, the associated intra-abdominal organ injury was missed for 48-hours until the patient was transferred to our tertiary trauma center. After prompt resuscitation and work-up, urgent laparotomy revealed severance of the anterior wall of the rectum that was associated with partial injury of the sigmoid colon as well, a 2- layer repair was done followed by a transverse colostomy. Then after 3- month follow-up period, the patient was doing very well with no any further complications, so we decided to close the colostomy after making sure there is neither anastomotic leakage nor stenosis by using contrast imaging studies, the patient had uneventful postoperative course, and he had been followed up to 6 months with optimum outcome. In conclusion, perineal impalements are unique complex injuries that carry high morbidity and mortality and should be managed by a multidisciplinary team at tertiary trauma center to improve the survival rate even in the absence of major external trauma that could be misleading as happened in our case study. Surgery Case report Colorectal Perineal impalement Steel rod Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7004606","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Short Report","associatedPublications":[],"authors":[{"id":478031720,"identity":"f74dff62-4f7b-4831-9b04-3aa7cb01cd23","order_by":0,"name":"AYMAN","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABCklEQVRIiWNgGAWjYDCCAxDKwICBueHAwz//5MCCD4jTwthwILHhgDFYMIFYLQyJIF0gLj4tfLcPP5O6UXPH2Jz9YOOBxB130ueHHX4ItMVOTrcBuxbJc2lm0jnHnplZ9oCsOPMsd+PtNAOglmRjswPYtRicYQBqYTtsYwDySAIbc+7G2QkgLQcSt+HUwv5NOucfUMv5h2At6Yaz0z8Q0MJjJp3bdtjM4AbIYW2HE+Slc/DbInmGp9g6t++wscENkC1n0gw3SOcUHEgwwO0XvjPsG2/nfDtsuOF88uEPHyps5OVnp28GMuzkcGkBAhYJVKeCVRrgVA4CzB9QuPINeFWPglEwCkbBCAQABrdyzEI+jEcAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0002-5598-4866","institution":"Ain Shams University","correspondingAuthor":true,"prefix":"","firstName":"","middleName":"","lastName":"AYMAN","suffix":""}],"badges":[],"createdAt":"2025-06-29 19:49:55","currentVersionCode":1,"declarations":{"humanSubjects":true,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":true,"humanSubjectConsent":true,"humanSubjectClinicalTrial":true,"humanSubjectCaseReport":true,"vertebrateSubjectEthicalGuidelines":false},"doi":"10.21203/rs.3.rs-7004606/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7004606/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[],"financialInterests":"The authors declare no competing interests.","formattedTitle":"\u003cp\u003e\u003cstrong\u003ePerineal Impalement by Steel Rod with Missed Colorectal Injury: A case Report\u003c/strong\u003e\u003c/p\u003e","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"Ain Shams University","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Case report, Colorectal, Perineal impalement, Steel rod","lastPublishedDoi":"10.21203/rs.3.rs-7004606/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7004606/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003ePerineal impalement is uncommon type of the penetrating injuries; however, they constitute life-threatening events that can carry high morbidity and mortality. 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