Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 3  |  Page : 224-226

Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures


Department of General and Emergency Surgery, SG Bosco Hospital, 10153 Turin, Italy

Correspondence Address:
Roberto Bini
Department of General and Emergency Surgery, SG Bosco Hospital, 10153 Turin
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.115353

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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.


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