Successful laparoscopic repair of a traumatic pubic symphysis hernia

Sharma, Atul; Jain, Parul; Shaw, C. J.; Sedman, Peter

doi:10.1007/s00464-003-4250-9

Cited by 14 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is difficult to diagnose due to its clinical complexity, and the difficulty in distinguishing the adynamic ileus from bowel entrapment. In 24 such cases reported in the literature, the diagnosis were delayed in six cases 16, 17, 18, 19. Four cases of bowel entrapment were diagnosed during laparotomy, which was performed during the initial management of trauma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and treatment of rare complications of pelvic fractures

Zong

Bao

Liu

et al. 2016

Chinese Journal of Traumatology

View full text Add to dashboard Cite

PurposeTo enhance the awareness of rare complications of pelvic fracture and describe the correct diagnosis and effective treatment.MethodsA total of 188 cases of pelvic fractures were retrospectively reviewed, and four patients who suffered from four types of rare pelvic fracture complications were described, namely ureteral obstruction caused by retroperitoneal hematoma-induced abdominal compartment syndrome (ACS), bowel entrapment, external iliac artery injury, and open scrotal sac injury.ResultsWe demonstrated that combined measures should be employed to prevent the occurrence of ACS following major pelvic fractures. Ureteral catheter support may be a good option at an early stage when ACS occurred. Contrasted computed tomography examination and sufficient awareness are keys to a correct diagnosis of bowel entrapment following pelvic fractures. Recognition of risk factors, early diagnosis, and prompt treatment of suspected injury of the external iliac artery are keys to patient survival and to avoid limb loss. Scrotal and/or testicular injury complicated by pelvic fractures should be carefully treated to maintain normal gonad function. Additionally, establishment of a sophisticated trauma care system and multi-disciplinary coordination are important for correct diagnosis and treatment of rare complications in pelvic fractures.ConclusionsRare complications of pelvic fractures are difficult to diagnose and negatively impact outcome. Recognition of risk factors and sufficient awareness are essential for correct diagnosis and prompt treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…It is extremely difficult to diagnose when the entrapped bowel is only part of the bowel, as reported in the present case, due to the atypical symptoms. Delayed diagnosis and treatment often lead to severe sepsis and death 16, 17, 18, 19…”

Section: Discussionmentioning

confidence: 99%