Transrectal small bowel evisceration after abdominal crush injury

Gelas, Thomas; Combet, Sylvie; Périnel, Julie; Javouhey, Étienne; Mure, Pierre-Yves

doi:10.1016/j.jpedsurg.2012.07.058

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…In one such example, a 4-year-old boy was run over by a car, sustaining blunt abdominal trauma. Transrectal small bowel evisceration was performed for this boy, and he was discharged from hospital on the 9th postoperative day with bed rest ( 4 ). Patients with traumatic cardiac arrest (TCA) have no pulse, and TCA has been viewed as a precursor to traumatic death.…”

Section: Discussionmentioning

confidence: 99%

“…It has also been reported that crush syndrome (CS) and acute kidney injury are two major causes of death following earthquakes ( 1 ). Furthermore, mesenteric laceration may lead to severe bleeding, resulting in hemorrhagic shock and multiple organ failure ( 4 ). The fracture caused by an abdominal crush injury may lead to arterial hemorrhage, which further results in hemorrhagic shock.…”

Section: Introductionmentioning

confidence: 99%

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Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report

Yang¹,

Tang

Li³

et al. 2022

Exp Ther Med

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Abdominal crush injury has been widely reported. However, abdominal crush injury cases involving most of the organ systems have seldom been reported. In the present case report, a 58-year-old man was hit in the abdomen by a 4-ton machine tool. The case described a rare combination of cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation and thrombosis after severe abdominal crush injury. During the treatment, crush syndrome, anemia, electrolyte disorder, pleural effusion, pulmonary emphysema, compartment syndrome, respiratory failure, pulmonary hemorrhage, injury of the right common peroneal nerve and tibial nerve, septum abscess and malnutrition were also observed. Systemic and symptomatic treatments were performed for >3 months, after which the patient was discharged from hospital without any further risk of fatality. The related treatments were also described in detail in the present case report. This case represented one of the most complicated cases among abdominal crush injuries that have been reported, and the treatment experiences reported here will hopefully provide suitable reference points for similar cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report

Yang¹,

Tang

Li³

et al. 2022

Exp Ther Med

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“…References of cases of transanal small bowel evisceration caused by blunt abdominal trauma in children, managed by other authors, are detailed in Table 1 to highlight the diversity of injuries sustained. [ 1 2 3 4 5 6 7 8 9 ] It also stresses the need to undertake an individualized approach, while managing these cases. Our child survived in spite of low reserves and bilateral multiple fracture injuries because of optimum preoperative resuscitation, timely intervention, staged surgical procedure, use of higher antibiotics, and nutritional support in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Transanal Small Bowel Evisceration in a 3-Year-Old Victim of Motor Vehicle Accident

Bhosale¹,

Sangle²,

Bhat³

et al. 2021

Journal of Indian Association of Pediatric Surgeons

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Although motor vehicle accidents (MVAs) in children are common, pediatric rectal perforations secondary to MVAs leading to transanal evisceration of the small bowel are very rare. Herniation of bowel through breach in the rectal wall seen eviscerating through the anus is a surgical emergency requiring laparotomy and necessary surgical procedure. We report case of a 3-year-old boy, victim of run-over MVA accident, presenting with bilateral fracture shaft femur, fracture of the left humerus, and transanal small bowel evisceration. About 30–40 cm long, gangrenous, small bowel loop was hanging outside the anal canal. Two consecutive surgeries were performed to manage this unusual and complex case with an excellent outcome. This report is presented for an extremely rare presentation of MVA injury in a child.

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“…[4] The causes of injury differ and could be due to high or low energy mechanisms (accidents, falls, handlebar injury). Evisceration is obvious and can occur in natural orifices (anus, [5] vagina, diaphragm) or in anatomically weak places (lateral rectus, lower abdomen, because of the absence of a posterior rectus sheath in this area, and inguinal canal). [6] Every time a patient is hemodynamically stable, other injuries must be excluded, and a trauma CT should be performed, [6] because the frequency of the associated intra-abdominal damage could be 30%.…”

Section: Discussionmentioning

confidence: 99%