Small intestinal incarceration in the fractured part of the acetabulum due to fall trauma: a case report

DOI
  • Seki Satoshi
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center
  • Okada Ichiro
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center
  • Kohara Saeko
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center
  • Inoue Kazushige
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center
  • Yoneyama Hisashi
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center
  • Hishikawa Tsuyoshi
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center
  • Hasegawa Eiju
    Emergency and Critical Care Center, National Hospital Organization Disaster Medical Center

Bibliographic Information

Other Title
  • 墜落外傷による寛骨臼骨折部に小腸嵌頓を認めた1例

Abstract

A 73-year-old male patient fell from a height of approximately 2 meters and was injured while pruning a tree. A right acetabular fracture with retroperitoneal hematoma was detected by computed tomography （CT） scan. The patient presented symptoms of epigastric pain, abdominal distension, and vomiting on day 4. CT scan revealed a bowel obstruction and incarceration into the right acetabular fracture site. Emergency laparotomy was performed and released. The patient underwent right acetabular fixation on day 11 and was transferred to the hospital for rehabilitation. Paralytic ileus is a common acetabular fracture complication, but intestinal obstruction due to incarceration at the fracture site is very rare. Hence, careful evaluation is important for differentiation.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390299384436468096
  • DOI
    10.50840/jjacs.14-3
  • ISSN
    2436102X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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