Penetrating wounds of the buttock.
Results of a study of 15 patients with penetrating wounds of the buttock managed during a recent five year period suggest that penetrating trauma to the buttock is a distinct injury syndrome accompanied by serious intestinal, bladder or vascular damage. Following a complete history, physical examination and appropriate roentgenograms, most injuries can be anticipated, but proctoscopy and cystography should be performed upon all patients at risk. Intravenous pyelography, a poor test of bladder integrity, may be misleading and should by supplemented by additional techniques. If a retroperitoneal or intraperitoneal injury is suspected, preoperative antibiotic therapy, followed promptly by aggressive intraoperative management of all injuries, is recommended.
D000293:Adolescent; D000328:Adult; D002081:Buttocks / Q000293:injuries*; D003106:Colon / Q000293:injuries; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000293:injuries; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology; D007421:Intestine, Small / Q000293:injuries; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000293:injuries; D011859:Radiography; D012007:Rectum / Q000293:injuries; D012187:Retroperitoneal Space / Q000293:injuries; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging