Rectal avulsion associated with complex open pelvic fracture following rollover injury
| العنوان: | Rectal avulsion associated with complex open pelvic fracture following rollover injury |
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| المؤلفون: | Jian Ping Jen, Sarah Addison, Steve Amerasekera |
| المصدر: | Trauma. 25:164-169 |
| بيانات النشر: | SAGE Publications, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Emergency Medicine, Surgery, Critical Care and Intensive Care Medicine |
| الوصف: | Background: We present a rare case of complete rectal avulsion from the external anal sphincter complex associated with unstable pelvic ring disruption, including spinopelvic dissociation, following rollover by tractor. In the context of major pelvic trauma, evaluating for unstable bony, acute vascular, urethral and bladder injuries is essential. However, a detailed search for anorectal injury is also required by the reporting radiologist. Case Report: In this case report we highlight specific pelvic floor anatomy on CT, with a focus on gross morphology and the presence of peri-rectal free gas as primary evidence for injury. Secondary radiological evidence which should trigger the search for anorectal injury includes bony posterior pelvic ring disruption (sacrum or coccyx fractures) or associated Morel-Lavallee lesions. Conclusion: The presence of radiological abnormality should prompt direct clinical inspection for corroboration. Early recognition is crucial for joint colorectal and orthopaedic management and the avoidance of delayed pelvic sepsis, which may become intractable. |
| تدمد: | 1477-0350 1460-4086 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::fc723af187f6dd93e362cde7dbd5ef4b https://doi.org/10.1177/14604086211068618 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........fc723af187f6dd93e362cde7dbd5ef4b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14770350 14604086 |
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