A case of bowel perforation due to traumatic hernia at a pelvic fracture site: a case report and review of the literature
| Autor: | Kenji Sugano, Kosei Hirakawa, Kenjiro Kimura, Katsunobu Sakurai, Kiyoshi Maeda, Hisashi Nagahara, Yasuhito Iseki, Masatsune Shibutani, Kazuya Muguruma, Ryota Tanaka, Naoshi Kubo, Sadaaki Yamazoe, Ryosuke Amano, Hiroshi Ohtani, Hiroaki Tanaka, Takahiro Toyokawa, Masaichi Ohira, Tatsuro Tamura, Tetsuro Ikeya |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Percutaneous Traumatic hernia Hernia Ileus Emergency operation medicine.medical_treatment lcsh:Surgery Case Report 03 medical and health sciences Fractures Bone 0302 clinical medicine medicine Humans Pelvic fracture Abscess Pelvic Bones Aged 030222 orthopedics business.industry General surgery Bowel perforation 030208 emergency & critical care medicine lcsh:RD1-811 General Medicine medicine.disease Pulmonary embolism Surgery Intestinal Perforation Jejunostomy Drainage Female Pouch Complication business |
| Zdroj: | BMC Surgery BMC Surgery, Vol 17, Iss 1, Pp 1-5 (2017) |
| ISSN: | 1471-2482 |
| Popis: | Background Common complications of pelvic fractures include visceral injury, large-volume hemorrhage, genitourinary injury, rectal injury, and pulmonary embolism. On the other hand, traumatic hernia is a rare complication, especially in association with pelvic fractures. We report a case of bowel perforation due to traumatic hernia at a pelvic fracture site. Case presentation A 65-year-old female was presented at our hospital for further examination and treatment of ileus. She was diagnosed with bowel perforation due to traumatic hernia at a pelvic fracture site, and an emergency operation was thus immediately performed. We performed segmental jejunum resection and constructed jejunostomy, and the iliac bone fracture was fixed with four pins. In the postoperative course, she received antibiotics and vasopressors for septic shock. However, there was no need for either a ventilator, dialysis or admission to the ICU. At seven days after the operation, a residual abscess was detected in the pouch of Douglas. We performed percutaneous drainage (Clavien-Dindo IIIa) and jejunostomy closedown 35 days after the first operation. The postoperative course was without complication, but she received rehabilitation until she was able to walk unaided. She was discharged 64 days after the first operation. Conclusion The occurrence of traumatic hernia is rare, especially in association with pelvic fractures. Although its rarity, traumatic hernia follows a severe course. Thus, proper diagnosis and effective treatment are necessary. Surgeons treating patients with pelvic injuries should consider the possibility of any complications and perform a work-up examination in order to achieve an accurate diagnosis at an earlier time point. |
| Databáze: | OpenAIRE |
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