[Impalement injury of the colon, iliac vein and sacrum--a rare combination in penetrating abdominal trauma. A case report].
We report on the treatment of a patient who sustained a penetrating abdominal wound with injury of the left common iliac vein, the sigmoid colon and the sacrum in a motorbike accident. The left iliac vein injury was treated using a Gore-Tex vein patch and an A-V fistula. The colon was restored after an intraoperative washout. The punched fragment of the sacrum was removed. An additional fracture of the proximal left humerus was managed with an osteosynthesis in a second operation. The principles of management of combined colon and vascular injuries are discussed and a short review of the literature is given.
Funke
M
M
Klinik für Allgemeinchirurgie. Philipps-Universität Marburg.
Nies
C
C
Hessmann
M
M
Rothmund
M
M
Gotzen
L
L
D000007:Abdominal Injuries / Q000473:pathology / Q000601:surgery*; D000328:Adult; D001807:Blood Vessel Prosthesis; D003106:Colon / Q000473:pathology / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D007084:Iliac Vein / Q000473:pathology / Q000601:surgery*; D009104:Multiple Trauma / Q000473:pathology / Q000601:surgery*; D011138:Polytetrafluoroethylene; D012447:Sacrum / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D012784:Shoulder Fractures / Q000473:pathology / Q000601:surgery; D013124:Spinal Injuries / Q000473:pathology / Q000601:surgery*; D014950:Wounds, Penetrating / Q000473:pathology / Q000601:surgery*
D011138:Polytetrafluoroethylene