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In this manuscript, we review the indications and accuracy of rectal exploration in trauma patients and highlight the evidence that rectal exploration should only be performed selectively in trauma patients and not routinely.<\/jats:p>","DOI":"10.61409\/v01250024","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T10:19:11Z","timestamp":1758104351000},"page":"1-6","source":"Crossref","is-referenced-by-count":0,"title":["Rectal examination in patients with trauma has low sensitivity"],"prefix":"10.61409","author":[{"given":"Luit","family":"Penninga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f8ren Steemann","family":"Rudolph","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan Evald","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upender Martin","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Possfelt-M\u00f8ller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2025,9,8]]},"reference":[{"key":"ref0","unstructured":"Stewart R, Rotondo MF, Henry SM, et al. ATLS\u00ae Advanced Trauma Life Support\u00ae, Student Course Manual, 10th Edition, 2018. https:\/\/store.facs.org\/atls-student-course-manual-10th-edition (3. mar 2025)"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Osler W. Aphorisms from His Bedside Teaching and Writings. Ann Intern Med. 1950;33:1326-1327. https:\/\/doi.org\/10.7326\/0003-4819-33-5-1326","DOI":"10.7326\/0003-4819-33-5-1326"},{"key":"ref2","unstructured":"Khadem TH, Rosenberg J, Achiam MP. Rektaleksploration er en nyttig unders\u00f8gelse i udredning af patienter med kolorektale og urogenitale symptomer. Ugeskr L\u00e6ger. 2013;175(44):2636-2639. https:\/\/ugeskriftet.dk\/videnskab\/rektaleksploration-er-en-nyttig-undersogelse-i-udredning-af-patienter-med-kolorektale-og"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Elhardello OA, MacFie J. Digital rectal examination in patients with acute abdominal pain. 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Injury location dictates utility of digital rectal examination and rigid sigmoidoscopy in the evaluation of penetrating rectal trauma. Am Surg. 2009;75(11):1069-1072. https:\/\/doi.org\/10.1177\/000313480907501108","DOI":"10.1177\/000313480907501108"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Ball CG, Jafri SM, Kirkpatrick AW, et al. Traumatic urethral injuries: does the digital rectal examination really help us? Injury. 2009;40(9):984-986. https:\/\/doi.org\/10.1016\/j.injury.2009.03.003","DOI":"10.1016\/j.injury.2009.03.003"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Rehn\u00e9 Jensen L, R\u00f8der A, Possfelt-M\u00f8ller E, et al. Lower urinary tract injuries in patients with pelvic fractures at a level 1 trauma center - an 11-year experience. 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