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Abstract
Early diagnosis and treatment are essential in cases of rectal impalement.
Diagnostic procedures include digital examination of the rectum, proctosigmoidoscopy, taking a catheterized specimen of the urine, and roentgenographic examination. Basic surgical principles must be followed in treatment. Vigorous antibiotic, electrolytic, nutritional and fluid-balance supportive treatment should be employed.
Postoperative treatment includes use of gastric suction until peritoneal irritation has disappeared, maintenance of fluid and electrolyte balance, transfusion of whole blood, and administration of an antibiotic effective against bacteria revealed in the peritoneal culture.