Rectal Lacerations

Other, apparently rare, major complications that have been reported in adult males after penile-anal intercourse are nonperforating and, less frequently, perforating lacerations of the rectal mucosa (187,188). Mucosal lacerations are also seen in association with brachioproctic intercourse and the insertion of inanimate foreign bodies (187,188). On occasions, the injury may be fatal (187,188). Slaughter et al. (90) described five rectal lacerations among eight women who underwent proctoscopy after "anal contact" during a sexual assault. The relationship between the precise sexual act and the medical findings is not described.

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