الفهرس 
Introduction
Definitions of complicationsOnly 14 pages are availabe for public view
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Abstract
ne of the earliest descriptions of bowel trauma came from the Byzantine Empire (324-1453 CE). The historical writer Philostorgius (fifth century) described the fatal wounding of Emperor Julian the Apostate (361-363 CE) when he wrote, ”a cavalryman severely wounded the emperor in the abdomen with his spear and injured the peritoneum and intestines; when the point of the weapon was pulled out, there followed an outflow of feces mixed with blood.
Anorectal injuries are relatively rare (1/1600 surgicaloperations) except as a result of iatrogenic damage, thanks to the anatomical position of the anorectum (protected by the pelvic bones, the sacrum and pelvic floor muscles).
Owing to its relatively superficial position the anus is more frequently injured, but trauma involving the extraperitoneal rectum although more rare, are often more severe and extend to the neighbouring organs.
The mortality related to rectal trauma has decreased dramatically from 67% during World War I down to today’s civilian reports of 0–10%. Likewise, the morbidity, which was as high as 72% during the Vietnam War, is now as low as 10%.
Delay in the diagnosis and management of a bowel injury can result in significant morbidity and mortality to the patient and can lead to medicolegal pitfalls.
Aim of the work
1. To indicate the range of common types of Anorectal Injuries likely to be encountered across the spectrum of surgical field.
2. To describe a rational approach for prevention and management of Anorectal Injuries.