Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures
The use of external fixation for the initial treatment of unstable, complex pelvic injuries with hemodynamic instability remains an effective treatment for multiply injured patients. Bowel entrapment within a pelvic fracture is a rarely reported, potentially fatal complication. Here, we report a pol...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2013-01-01
|
| Series: | Journal of Emergencies, Trauma and Shock |
| Subjects: | |
| Online Access: | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2013;volume=6;issue=3;spage=224;epage=226;aulast=Bini |
| _version_ | 1818846272365264896 |
|---|---|
| author | Roberto Bini Fabrizio Quiriconi Tiziana Viora Renzo Leli |
| author_facet | Roberto Bini Fabrizio Quiriconi Tiziana Viora Renzo Leli |
| author_sort | Roberto Bini |
| collection | DOAJ |
| description | The use of external fixation for the initial treatment of unstable, complex pelvic injuries with hemodynamic instability remains an effective treatment for multiply injured patients. Bowel entrapment within a pelvic fracture is a rarely reported, potentially fatal complication. Here, we report a polytrauma patient with pelvic fractures who developed an intestinal obstruction after an external fixation. At an explorative laparotomy, we found an ileum segment trapped in the sacral fracture. Reported cases of bowel entrapment in pelvic fractures, especially in sacral fractures, are exceedingly rare. The diagnosis is often delayed due to difficulty distinguishing entrapment from the more common adynamic ileus. In conclusion, clinicians and radiologists should be aware of this potentially lethal complication of pelvic fractures treatment. To exclude bowel entrapment, patients with persistent ileus or sepsis should undergo early investigations. |
| first_indexed | 2024-12-19T05:42:55Z |
| format | Article |
| id | doaj.art-27282b3fc1cd4ecea857731560379df7 |
| institution | Directory Open Access Journal |
| issn | 0974-2700 |
| language | English |
| last_indexed | 2024-12-19T05:42:55Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Emergencies, Trauma and Shock |
| spelling | doaj.art-27282b3fc1cd4ecea857731560379df72022-12-21T20:33:57ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002013-01-016322422610.4103/0974-2700.115353Small bowel obstruction in percutaneous fixation of traumatic pelvic fracturesRoberto BiniFabrizio QuiriconiTiziana VioraRenzo LeliThe use of external fixation for the initial treatment of unstable, complex pelvic injuries with hemodynamic instability remains an effective treatment for multiply injured patients. Bowel entrapment within a pelvic fracture is a rarely reported, potentially fatal complication. Here, we report a polytrauma patient with pelvic fractures who developed an intestinal obstruction after an external fixation. At an explorative laparotomy, we found an ileum segment trapped in the sacral fracture. Reported cases of bowel entrapment in pelvic fractures, especially in sacral fractures, are exceedingly rare. The diagnosis is often delayed due to difficulty distinguishing entrapment from the more common adynamic ileus. In conclusion, clinicians and radiologists should be aware of this potentially lethal complication of pelvic fractures treatment. To exclude bowel entrapment, patients with persistent ileus or sepsis should undergo early investigations.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2013;volume=6;issue=3;spage=224;epage=226;aulast=BiniBowel entrapmentexternal fixatorpelvic injury |
| spellingShingle | Roberto Bini Fabrizio Quiriconi Tiziana Viora Renzo Leli Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures Journal of Emergencies, Trauma and Shock Bowel entrapment external fixator pelvic injury |
| title | Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures |
| title_full | Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures |
| title_fullStr | Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures |
| title_full_unstemmed | Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures |
| title_short | Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures |
| title_sort | small bowel obstruction in percutaneous fixation of traumatic pelvic fractures |
| topic | Bowel entrapment external fixator pelvic injury |
| url | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2013;volume=6;issue=3;spage=224;epage=226;aulast=Bini |
| work_keys_str_mv | AT robertobini smallbowelobstructioninpercutaneousfixationoftraumaticpelvicfractures AT fabrizioquiriconi smallbowelobstructioninpercutaneousfixationoftraumaticpelvicfractures AT tizianaviora smallbowelobstructioninpercutaneousfixationoftraumaticpelvicfractures AT renzoleli smallbowelobstructioninpercutaneousfixationoftraumaticpelvicfractures |