Surgical management of penetrating pelvic trauma: a case report and literature review.
- Author:
Peng ZHANG
1
;
Jing-mei HU
;
Dong-sheng ZHOU
Author Information
1. Department of Orthopaedics, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China.
- Publication Type:Case Reports
- MeSH:
Abdominal Injuries;
surgery;
Adult;
Foreign Bodies;
surgery;
Humans;
Male;
Multiple Trauma;
surgery;
Wounds, Penetrating;
surgery
- From:
Chinese Journal of Traumatology
2012;15(6):364-366
- CountryChina
- Language:English
-
Abstract:
High-velocity penetrating pelvic injury is one of the most difficult challenges to trauma surgeons. The injury sites frequently include soft tissue, pelvis, genitourinary tract, vascular structures and intraabdominal viscera. We present an unusual case of a male patient suffering a collision at night with a deformed steel bar penetrating into his right groin. Careful planning of the surgical approach is important before extracting the foreign body. The possibility of multiorgan damage to intrapelvic structures such as colon, urinary bladder, vessels and nerves, frequently necessitates a multidisciplinary involvement and systematic approach. Besides, limited incision as well as modification should be considered, and debridement and perioperative antibiotics can be used to reduce the risk of serious wound infection.
