Open Pelvic Fracture Associated with Rectal Injury: A Case Report

DOI 8 References Open Access
  • Okamura Naoki
    Department of International Medical Relief, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Nakashima Shinichi
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Sakuma Katsuhiko
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Honda Kazuhiro
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Miyamoto Kazuhiko
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Okada Jiro
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Imamura Yuya
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Imoto Kojiro
    Department of Orthopedic Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Hosokawa Hiroshi
    Department of International Medical Relief, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Shiroshita Takuya
    Department of International Medical Relief, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Okano Hirofumi
    Department of Emergency, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
  • Maekawa Takeshi
    Department of Orthopedics Surgery, Amakusa Community Health Center, Kumamoto, Japan

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Other Title
  • 直腸断裂を伴った開放性骨盤骨折1例の治療経験

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Description

Open pelvic fractures occur in abdominal injuries and potential lethal injuries. We report the case of a patient with open pelvic fracture associated with urogenital injury and rectal injury. A 36-year-old man was injured in a car crash. He suffered unstable pelvic fracture and arteriography, and embolization for massive hemorrhage was done. A few days later, urogenital injury and rectal injury were revealed and suprapubic urinary diversion and diverting colostomy were performed. External fixation was done at the same time. Afterward, he suffered soft tissue infection and sepsis. debridements were required three times. Now he can walk with both short leg braces and a cane. Rectal injury is a rare complication and recognized to carry a high rate of sepsis. It can become a fatal complication in the late phase. Blood in rectal examination suggests the need for diagnostic procedure of rectal injuries, but CT scanning is recommended. For the treatment of open pelvic fracture, urinary diversion and diverting colostomy are recommended for control of soft tissue infection and sepsis.

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