ABSTRACT

Endoscopic examination is indicated when suspicion exists for rectal injury.(4) Rigid proctoscopy may be performed, however flexible sigmoidoscopy is the procedure of choice because of difficulties in patient positioning due to their pelvic fracture.(7) Endoscopic imaging will visualize over 90% of rectal injuries.(2)

Anoscopy demonstrates an oozing laceration in the anterior rectum approximately 8 cm above the anal verge.