title: A rare case of paediatric pelvic ring injury with lower urinary tract obstruction secondary to a combat blast mechanism.
abstract: Paediatric pelvic ring fractures are rare, and typically the result of high-energy mechanisms that yield other potentially fatal visceral and solid organ injuries. Specific pelvic fracture patterns have been associated with injury to the lower urinary tract, with the most severe involving laceration of the bladder or transection of the urethra. We report a unique case of paediatric pelvic ring disruption causing an isolated obstruction of the lower urinary tract without laceration or discontinuity. Although most paediatric pelvic fractures are managed non-operatively, we postulate that significant ring deformity contributing to urinary retention be considered an indication for open surgical treatment.
authors.affiliation: NATO Role 3 Multinational Medical Unit, Kandahar, Afghanistan. christiaan.mamczak@med.navy.mil
authors.forename: Christiaan N
authors.initials: CN
authors.lastname: Mamczak
authors.forename: Dean
authors.initials: D
authors.lastname: Malish
authors.forename: Onno
authors.initials: O
authors.lastname: Boonstra
mesh_terms: D000346:Afghanistan / Q000453:epidemiology; D001753:Blast Injuries / Q000150:complications / Q000601:surgery; D002648:Child; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery*; D005597:Fractures, Open; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000601:surgery; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D014551:Urinary Tract / Q000293:injuries