title: Small bowel obstruction in percutaneous fixation of traumatic pelvic fractures.
abstract: The use of external fixation for the initial treatment of unstable, complex pelvic injuries with hemodynamic instability remains an effective treatment for multiply injured patients. Bowel entrapment within a pelvic fracture is a rarely reported, potentially fatal complication. Here, we report a polytrauma patient with pelvic fractures who developed an intestinal obstruction after an external fixation. At an explorative laparotomy, we found an ileum segment trapped in the sacral fracture. Reported cases of bowel entrapment in pelvic fractures, especially in sacral fractures, are exceedingly rare. The diagnosis is often delayed due to difficulty distinguishing entrapment from the more common adynamic ileus. In conclusion, clinicians and radiologists should be aware of this potentially lethal complication of pelvic fractures treatment. To exclude bowel entrapment, patients with persistent ileus or sepsis should undergo early investigations.
authors: Department of General and Emergency Surgery, SG Bosco Hospital, 10153 Turin, Italy.
authors: Roberto
authors: R
authors: Bini
authors: Fabrizio
authors: F
authors: Quiriconi
authors: Tiziana
authors: T
authors: Viora
authors: Renzo
authors: R
authors: Leli
keywords: Bowel entrapment; external fixator; pelvic injury
references: Br J Radiol. 2007 Feb;80(950):143-5
references: 17495062
references: J Orthop Trauma. 1999 Feb;13(2):145-8
references: 10052792
references: Injury. 2006 Jul;37(7):602-13
references: 16309680
references: J Trauma. 2008 Oct;65(4):933-7
references: 18288016
references: Eur J Trauma Emerg Surg. 2010 Apr;36(2):100-6
references: 26815683
references: Am J Surg. 1983 Dec;146(6):755-7
references: 6418021