A case of open pelvic fracture complicated by anorectal injury treated with continuous local antibiotics perfusion（CLAP）, internal fixation of pelvic ring and Miles operation

DOI
  • Ueda Naoko
    Department of General and Gastroenterological Surgery, Hyogo Prefectural Harima-Himeji General Medical Center
  • Sakahira Hideki
    Department of General and Gastroenterological Surgery, Hyogo Prefectural Harima-Himeji General Medical Center
  • Maruo Akihiro
    Department of Orthopedic Surgery, Hyogo Prefectural Harima-Himeji General Medical Center
  • Takaoka Makoto
    Department of Emergency Medicine, Hyogo Prefectural Harima-Himeji General Medical Center
  • Sakai Tetsuya
    Department of General and Gastroenterological Surgery, Hyogo Prefectural Harima-Himeji General Medical Center

Bibliographic Information

Other Title
  • 肛門損傷を合併した開放性骨盤骨折に対して局所抗菌薬投与・骨盤内固定・直腸切断術を施行し独歩退院できた1例

Abstract

Open pelvic fractures are rare, comprising only 2 to 4% of all pelvic fractures. Open pelvic fractures are traumatic injuries with high rates of complications and injuries to adjacent organs such as the rectum and urethra. Patients with open wounds in the rectum or perineum are at significant risk of developing a severe type of sepsis called pelvic sepsis, which has been classified as one of the most severe diseases （its mortality rate is 44%）. If the anal sphincter is damaged to the point that reconstruction is impossible, fecal contamination of the perineum is inevitable. An infection delays fracture reconstruction and affects the functional prognosis. This article discusses the case of an open pelvic fracture with an anorectal injury resulting in fecal contamination of the perineal wound. In this case, sepsis was successfully treated and a favorable functional prognosis was achieved.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390580859413187072
  • DOI
    10.50840/jjacs.14-2
  • ISSN
    2436102X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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