Bull Gore Injury of the Vagina

M, Kulkarni; Gangadharaiah, Mahendra; Kulkarni, Sunanda R.

doi:10.7860/jcdr/2012/4959.2695

Cited by 6 publications

(13 citation statements)

References 6 publications

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“…The lacerations are usually limited to the lower vagina, as the horns are long curved and are directed forwards with tapering edges, but as the region is highly vascularised, always a significant hematoma or hemorrhage develops whenever such an impact occurs [5]. Perineum is a complex region where the visualization and access to various structures are very difficult.…”

Section: Discussionmentioning

confidence: 99%

“…The true incidence of such injuries is difficult to ascertain because of its rarity and under-reporting out of embarrassment and concealment of the facts [1,4,5]. Severe vaginal lacerations may result in lifethreatening blood loss and hemorrhagic or septic shock requiring resuscitation, blood transfusion, and prolonged hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…Lower genitourinary trauma resulting from cow horn injury may present as a continuum of severity from minor trauma to major vulvovaginal lacerations and multi-organ involvement [5]. The true incidence of such injuries is difficult to ascertain because of its rarity and under-reporting out of embarrassment and concealment of the facts [1,4,5].…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]. Rarely, a cow horn or a bull goring may lead to vulvar and/or urethral injury and such incidence is scarcely reported [5]. We at our institution managed 12 women having lower genitourinary tract trauma caused by cow horn injury during the past Dr. Vinod Priyadarshi is a Senior Resident in the Department of Urology at IPGMER and SSKM Hospital, Kolkata; Deepak Gupta is a Senior Resident in Department of Urology at IPGMER and SSKM Hospital, Kolkata; Dilip Kumar Pal is Professor and Head of the Department of Urology at IPGMER and SSKM Hospital, Kolkata.…”

Section: Introductionmentioning

confidence: 99%

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Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Priyadarshi

Gupta

Pal

2015

J Obstet Gynecol India

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Introduction Lower genitourinary tract trauma in females caused by cow horn injury (goring) is rarely reported and discussed. Materials and Methods All (12) women who were managed over the past 5 years for genitourinary tract trauma inflicted by cow horn injury were retrospectively analyzed.Results Variable patterns of lower genitourinary trauma were observed due to cow horn injury. Conclusion Treatment should be individualized and offered after thorough evaluation under anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Priyadarshi

Gupta

Pal

2015

J Obstet Gynecol India

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“…Bull gores to the perineum cause vulvovaginal, anorectal, rectovaginal, urethrorectal injuries and foetal death which may require medical termination of pregnancies, have been described in the literature. Bladder neck ruptures and prostatic urethra injuries with pelvic fractures are also reported [9][10][11][12]. A through and through bladder perforation, sparing the sphincters and urethra, with a pneumoperitoneum, is very unusual.…”

Section: Discussionmentioning

confidence: 99%

Perineal Bull Gore with Urinary Bladder Perforation and Pneumoperitoneum

Santhosh¹

2013

JCDR

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Animal related injuries are frequently reported in India and other countries, where bulls are used for sporting events as well as in places where farming and livestock rearing is practised. The presentation is, many times, atypical and misleading as well.They have unique mechanics of injury. The patterns of the injury are reviewed. An intra-peritoneal urinary bladder injury which is caused by a perineal bull gore with a pneumoperitoneum is unusual and it has not been reported in the literature which was reviewed. We are reporting a successfully treated 25 years old male patient from the slopes of the southern district of Manipur, India, who had presented 40 hours after he was injured. The identification and prompt exploration, keeping in mind the mechanics of bull goring, helps the surgeons to adequately deal such atypical injuries, for optimal outcomes.SanthoSh R, aRun KumaR baRad, hemanth SuReShWaRa GhaliGe, SRidaRtha K, biRKumaR ShaRma m InTRoduCTIonAnimal related injuries are frequently reported in countries where bulls are used for sporting events as well as in places where farming and livestock rearing is practised [1,2]. In India, it is commonly seen in the "Jallikattu" event of taming bulls, which is organized as a part of Pongal -a festival of the harvest season which is celebrated across Tamil Nadu, India. Injuries, minor to fatal, are caused by bull gores. An intra-peritoneal urinary bladder injury which was caused by a perineal bull gore has not been reported in the available literature. One of the oldest reports which had described a bladder injury had come from Baron Jean Dominique Larry, who was a military surgeon to Napoleon Bonaparte, who had witnessed a drunken soldier trying his hand as a matador and entering the bull-ring. He was gored. Larry took him to the hospital, explored the wound, decompressed his bladder with a gum elastic catheter, and reduced the herniated bladder mucosa through the torn muscles of the groin. He was found to be cured six months later [3].The mechanics of bull goring are unique and often misleading and thence, they deserve reporting. We are reporting an unusual case with a bull gore injury to the perineum, who presented with a pneumoperitoneum and urinary bladder perforation. CASe SummARyA 25 year old male patient from the slopes of the southern district of Manipur, presented 40 hours after receiving a bull horn injury to the perineum. There was a history of extravasation of blood mixed urine through the perineal wound and the anus. At presentation, his vitals were found to be stable but he had signs of peritonitis and mild abdominal distention. He had a penetrating wound which was 3x1cms lateral to the anal orifice, on the right side [Table/ Fig-1], which was large enough to be digitally explored under local anaesthesia, with minimal patient discomfort. There was an abrasion on his buttocks, of nearly 10 cm, which tapered into it. A digital rectal examination and proctoscopy neither revealed any urine leak nor any sign of a rectal injury; there was no loss o...

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Bladder rupture due to urogenital tract trauma caused by ox horn injury in a patient with pelvic organ prolapse: a case report

Mengistu

Molla

2020

J Med Case Reports

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Introduction Genitourinary tract trauma caused by ox horn injury in the presence of pelvic organ prolapse (POP) is an extremely rare phenomenon and associated with devastating morbidity. Case presentation A 50-year-old multiparous postmenopausal woman from rural northwest Ethiopia presented with the primary complaint of urinary incontinence 6 days after she suffered ox horn injury to her prolapsed genitalia. She had stage 3 pelvic organ prolapse with the leading point being the cervix. The anterior vaginal and posterior bladder walls were disrupted with visible draining of the left ureter. The wound was dirty and edematous with whitish discharge. She was admitted to the urogynecology ward and provided with wound care until the infection subsided. Apical prolapse suspension was performed using right sacrospinous fixation, and bladder repair was carried out 6 weeks following the prolapse suspension. She recovered well and was continent when discharged. Conclusion Ox horn injury involving the female lower urogenital tract in the presence of POP is extremely rare. Late presentation after sustaining injury is associated with increased risk of morbidity and long hospital stay, and treatment requires multistage surgery.

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Bull Gore Injury of the Vagina

Cited by 6 publications

References 6 publications

Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Perineal Bull Gore with Urinary Bladder Perforation and Pneumoperitoneum

Bladder rupture due to urogenital tract trauma caused by ox horn injury in a patient with pelvic organ prolapse: a case report

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