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Panesar D, Waddell O, Herd A. Traumatic 'degloving' injury to the ascending colon. ANZ J Surg 2021; 91:E627-E628. [PMID: 33513279 DOI: 10.1111/ans.16632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 01/16/2021] [Indexed: 11/27/2022]
Affiliation(s)
- Divyansh Panesar
- Department of General Surgery, Waitemata District Health Board, Auckland, New Zealand
| | - Oliver Waddell
- Department of General Surgery, Waitemata District Health Board, Auckland, New Zealand
| | - Andrew Herd
- Department of General Surgery, Waitemata District Health Board, Auckland, New Zealand
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Sato T, Kashiwai A, Ota C, Nomura M, Tsuboi K, Kitagawa M, Abe S, Tsuchihashi H, Suzuki K. A rare case of steering wheel injury causing coronal-plane pancreatic lacerations. Leg Med (Tokyo) 2016; 21:73-6. [PMID: 27497337 DOI: 10.1016/j.legalmed.2016.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Revised: 06/21/2016] [Accepted: 06/30/2016] [Indexed: 11/17/2022]
Abstract
The incidence of pancreatic injury after blunt abdominal trauma is extremely low. A timely and accurate diagnosis is important, as a delay could be life-threatening. In this case, a 70-year-old driver crashed a car into a concrete wall at low speed. He was transported to the emergency hospital but died about 9.5h later with the cause of death unknown. An autopsy revealed that his pancreas was lacerated in the coronal plane and there was mesenteric contusion. Cause of death was determined to be blood loss resulting from pancreatic and mesenteric contusion. The mechanism of the injury was considered to be a very rare "degloving," caused by the impact from the steering wheel. It is therefore important to keep in mind possible pancreatic damage when examining blunt trauma to the abdomen, especially in traffic accident cases.
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Affiliation(s)
- Takako Sato
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan.
| | - Aya Kashiwai
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Chisato Ota
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Masakatsu Nomura
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Kento Tsuboi
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Misa Kitagawa
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Shuntaro Abe
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Hitoshi Tsuchihashi
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
| | - Koichi Suzuki
- Division of Preventive and Social Medicine, Department of Legal Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan
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Chawla S, Jain S, Suneja A, Guleria K. Degloving Injury of Bowel: An Unheard Complication of Surgical Abortion. J Clin Diagn Res 2016; 10:QD01-2. [PMID: 27437310 DOI: 10.7860/jcdr/2016/17329.7787] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 01/31/2016] [Indexed: 11/24/2022]
Abstract
Unsafe abortion is one of the leading causes of maternal mortality. Various types of intestinal injury in form of haematoma, perforation, contusion and transection have been reported. Degloving injury of intestine is one of the rarest complications. We report a case of 32-year-old lady Gravida 4, para 3 admitted with history of induced surgical abortion by a quack with degloving injury to bowel. Though there was no fecal soiling of peritoneal cavity but large segment of bowel was lost. She was managed by end ileostomy and discharged in stable condition.
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Affiliation(s)
- Sonia Chawla
- Senior Resident, Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital , Delhi, India
| | - Sandhya Jain
- Assistant Professor, Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital , Delhi, India
| | - Amita Suneja
- Professor, Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital , Delhi, India
| | - Kiran Guleria
- Professor, Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital , Delhi, India
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Terazumi K, Yanagawa Y, Takasu A, Sakamoto T. A case of degloving injury of the colon. Am J Emerg Med 2010; 30:250.e5-6. [PMID: 21159462 DOI: 10.1016/j.ajem.2010.09.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2010] [Accepted: 09/24/2010] [Indexed: 10/18/2022] Open
Abstract
The left side of a truck driven by a 71-year-old man was hit by another car at an intersection, and his abdomen was compressed by the steering wheel. On arrival, he complained of severe lower abdominal pain; and physical examination demonstrated involuntary rigidity and rebound tenderness. Enhanced truncal computed tomography exhibited that the descending colon was shifted ventral and medial because of a low-density mass with contrast extravasation. An emergency laparotomy disclosed injuries of the descending colon, which could be mobile because of degloving of the colon, left mesenterium, spleen, and tail of pancreas. During resection of these injured organs, difficulty in controlling the bleeding from the degloving injury site resulted in the requirement of a “second look” operation. The postoperative course was eventful; however, the patient's physiologic condition stabilized, and he was discharged on foot on the 108th hospital day.
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Affiliation(s)
- Keiko Terazumi
- Department of Traumatology and Critical Care Medicine, National Defense Medical College, Saitama Japan
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Sekizawa A, Yanagawa Y, Nishi K, Takasu A, Sakamoto T. A case of thoracic degloving injury with flail chest. Am J Emerg Med 2010; 29:841.e1-2. [PMID: 20934295 DOI: 10.1016/j.ajem.2010.06.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2010] [Accepted: 06/17/2010] [Indexed: 10/19/2022] Open
Abstract
A 75-year-old male patient suffered a chest degloving injury when he fell on his back and was run over by a small farm tractor he was pulling. At the time of patient admission, the paradoxical motion of the right chest wall was remarkable; and he had an open fracture of the right humerus, a dislocation of the right ankle, and a laceration of the right forearm. Chest computed tomography revealed fractures of the fifth to seventh ribs and detachment of both the right pectoralis major muscle and serratus anterior muscle from the chest wall, with a disconnected right thoracic cavity. Because the right flail chest was severe and there was a large amount of air leakage that continued under positive-pressure ventilation for pneumatic stabilization, we performed surgical fixation of the ribs and repaired the lung injury on the fifth hospital day. The patient's postoperative course was uneventful.
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Affiliation(s)
- Akinori Sekizawa
- Department of Traumatology and Critical Care Medicine, National Defense Medical College, Tokorozawa, Saitama 359-8513, Japan.
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