J Korean Fract Soc.  2010 Oct;23(4):373-376. 10.12671/jkfs.2010.23.4.373.

Bowel Entrapment by Fragments of Acetabular Fracture: A Case Report

• Kim JW
• Kim JJ
• Hong SK
• Kyung KH
• Kim JH

• KMID: 1461494
• DOI: http://doi.org/10.12671/jkfs.2010.23.4.373

Abstract

Abdominal injuries are common in patients with pelvic or acetabular fracture. However intestinal entrapment or perforation caused by fragments of a pelvic or acetabular fracture is rare and to date there has been no report of this occurring in Korea so far. As it is difficult to diagnose intestinal entrapment caused by fragments of pelvic or acetabular fracture, the entrapment therefore results in intestinal perforation, sepsis, and a high mortality rate in the absence of early detection. We present a case of intestinal entrapment and perforation caused by fragments of acetabular fracture as well as a literature review.

Keyword

Pelvis; Acetabular fracture; Complication; Bowel entrapment

MeSH Terms

Abdominal Injuries
Humans
Intestinal Perforation
Korea
Pelvis
Sepsis

Figure

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  Fig. 1 (A) Initial Pelvis AP view, (B, C) Initial 3D pelvis CT images show both column acetabular fracture with central dislocation. The arrows indicate the fragment protruded medially and superiorly.

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  Fig. 2 Supine abdomen x-ray shows intestinal dilatation.

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  Fig. 3 Initial axial image of pelvis CT shows entrapped bowel between fragments of acetabulum (circle).

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  Fig. 4 (A) Acetabular fragment penentrates retroperitoneum and compress small bowel. (B) The distal ileum (circle) is perforated.

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  Fig. 5 Pelvis CT image 4 days after reanastomosis operation shows fluid collection (arrow) around gluteus muscle.

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  Fig. 6 The 6 months follow up Pelvis AP radiograph shows that acetabular fracture doesn't have union and femoral head migrates medially.

Reference

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