Down boy! A case of acute abdomen following a dog bite to the scrotum
Autor: | Jennifer Siu, Indi Trehan, Edwin S. Palmer, Annkham Thammaseng, Phitsavanh Saysamoneyeu |
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Rok vydání: | 2019 |
Předmět: |
Male
Radiography Abdominal medicine.medical_specialty medicine.medical_treatment Perforation (oil well) Poison control Anastomotic Leak Hernia Inguinal Dog bite Acute abdomen Scrotal trauma 03 medical and health sciences Dogs 0302 clinical medicine 030225 pediatrics Laparotomy Intestine Small Case report Scrotum medicine Animals Humans Bites and Stings 030212 general & internal medicine Abdomen Acute business.industry General surgery Anastomosis Surgical lcsh:RJ1-570 lcsh:Pediatrics Hernia repair medicine.disease Inguinal hernia medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Perforated bowel medicine.symptom business |
Zdroj: | BMC Pediatrics, Vol 19, Iss 1, Pp 1-3 (2019) BMC Pediatrics |
ISSN: | 1471-2431 |
DOI: | 10.1186/s12887-019-1548-x |
Popis: | Background Dog bite injuries are an ongoing concern in pediatrics. The majority of these occur in low- and middle-income countries where resources, especially subspecialty support services, are limited. Scrotal bites are relatively rare, and even fewer cases of abdominal viscus involvement have been described. No case has previously been reported of a dog bite to the scrotum leading to abdominal viscus perforation. Case presentation A 2-year old boy presented with an acute abdomen as the result of a dog bite to his scrotum in the presence of an unrepaired inguinal hernia. Without revisiting a detailed trauma history and exam, this would have been missed, as the dog bite occurred several days prior to presentation and was nearly completely healed. The patient initially had an emergent laparotomy, small bowel resection, and hernia repair. He then suffered from a delayed anastomotic leak requiring repeat laparotomy with creation of an ileostomy. Following a prolonged post-operative course, the patient was discharged home with his ileostomy in place. He returned 3 months later to have his ileostomy reversed and was discharged after an uncomplicated operation in good condition. Conclusions This case demonstrates the primacy of an accurate history and physical, specifically with regards to recent trauma, in the presentation of a pediatric patient with an acute abdomen. Acquiring this may involve multiple re-interviews with the family as new facts may come to light. This is especially important in resource limited areas where advanced imaging and laboratory services are not available. |
Databáze: | OpenAIRE |
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