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:: Volume 11, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2006) ::
SJKU 2006, 11(3): 74-76 Back to browse issues page
Report of an unusual case of perineal burn leading to anal sphincter dysfunction with fecal incontinence due to formation of an annular scar around anus
Mohammad Javad Fatemi Dr 1, Tayeb Ghadimi Dr
1- , fatemi41@yahoo.com
Abstract:   (10352 Views)
Background and Aim: Isolated deep burn of perineal area is rare and usually occurs in cases with extensive burn. The etiology of this kind of burn may be of thermal, chemical or electrical origin. Treatment in most cases is conservative and surgical intervention rarely required. Isolated deep burn of perineal area has been reported in some special circumstances such as falling into furnace or pots containing hot fluids and sitting on exhaust pipe of vehicles but no dysfunction of anal sphincter after formation of perineal annular scar had been detected. Our objective is to focus on particular cases of perineal burn and its complications. Case Report: A 12 years old Afghan boy with history of previous burn of perineal area at the age of 6 months, due to falling into boiled water, referred to Tohid Hospital with chief complaint of fecal incontinence. At that time the patient had been managed conservatively for his burn. As far as the patient`s parents remember, he had been suffering from fecal incontinence since his childhood. In physical exam an annular scar around anus together with lack of sphincter tone were detected. By releasing the scar and use of skin graft, sphincter tone improved gradually. Conclusion: In special cases of isolated perineal deep burn, conservative management may lead to scarring and dysfunction of anal sphincter with fecal incontinence, imposing physical, social and psychological impacts specially on children. Proper and timely treatment is recommended to prevent this complication.
Keywords: Preineal burn, Fecal incontinence, Anal sphincter dysfunction
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Type of Study: Research | Subject: General
Received: 2009/05/10
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Fatemi M J, Ghadimi T. Report of an unusual case of perineal burn leading to anal sphincter dysfunction with fecal incontinence due to formation of an annular scar around anus. SJKU. 2006; 11 (3) :74-76
URL: http://sjku.muk.ac.ir/article-1-135-en.html


Volume 11, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2006) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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