A previously healthy 38-year-old male presented to the Emergency Department from a local outside hospital approximately 4 hours after being crushed between a truck and metal dumpster. He arrived at the trauma room intubated, sedated with a heart rate of 99 BPM, BP of 83/46, and RR of 18. The patient was noted to have complete paralysis of the left lower extremity. The rectal tone was absent. What does the examination suggest (attached image 1)?
The part of the rectum (image 1) was debrided followed by further examination (image 2). What does the examination suggest (attached image 2)? *This case is formed Docplexus editorial team for educative purpose only. Source: Trauma Org Stay connected, the answer will be posted in next 48h!