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Isolated Rectal Perforation Secondary to an Open Book Fracture : A Case Report

“翻書型”骨盆骨折伴隨單獨直腸穿孔:病例報告

摘要


骨盆骨折通常造成嚴重腹膜後出血及泌尿道之損傷,對外直腸所造成之傷朗則非常少見,且多發生於穿刺傷害,或被尖說之骨盆碎骨所刺穿腸壁。本病例係罕見之「翻書型」骨盆骨折(骨盆骨折併不穩定性外展)伴隨單獨直腸穿孔;病人初到院時生命徵象呈穩定狀況,然不幸因未及時診斷而不治死亡。本文除討論其可能之傷害機轉外,並強調標準之評估對此類骨盆骨折外傷病患之重要性。

並列摘要


Pelvic fractures are frequently accompanied by significant hemorrhage and lower urinary tract injuries, but associated rectal perforation is very rare, especially in blunt trauma. We report an unusual case of isolated rectal perforation in an initially hemodynamically stable patient with an open book fracture. Failure to make the diagnosis early led to a fatal outcome. The appropriate initial standard patient evaluation and the mechanism of injury are discussed.

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