Pelvic hematoma necessitans--a delayed complication of massive hemorrhagic pelvic fracture: case report.
Pelvic hematoma necessitans (PHN), a complication of massive hemorrhagic pelvic fracture, is reported in a 48-year-old pedestrian hit by an automobile. It was manifested by a tense hematoma of the buttocks and perineum that spontaneously "necessitated" or drained posterior to the anus 11 days after injury, resulting in complex anorectal morbidity and fecal contamination of a retroperitoneal hematoma and pelvic fracture sites. Early recognition, prompt diverting colostomy, and aggressive wound management are necessary after open pelvic fracture to prevent local and systemic infectious sequelae of PHN.
Department of Surgery, Case Western Reserve University, Cleveland, Ohio.
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McHenry
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Jacobs
D005596:Fractures, Closed / Q000150:complications*; D005597:Fractures, Open / Q000150:complications; D006406:Hematoma / Q000209:etiology*; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D012007:Rectum / Q000293:injuries*; D012187:Retroperitoneal Space; D012421:Rupture / Q000209:etiology; D013997:Time Factors