Crowther A J, McMaster J M, Abercrombie J, Hahn D M
University Hospital Nottingham, Queens Medical Centre, Department of Trauma and Orthopaedics, Nottingham, UK.
J Orthop Trauma. 2006 Sep;20(8):580-3. doi: 10.1097/01.bot.0000245002.75621.ff.
We report the third documented case of small bowel entrapment within a sacral fracture leading to small bowel obstruction. This important diagnosis is rare and difficult to make, even with current imaging methods. We report a case in which a segment of small bowel trapped in a Denis II fracture of the sacrum required laparotomy, small bowel resection, and an omental patch over the fracture site. In this case the outcome was favorable with no residual sequelae.
我们报告了第三例有文献记载的骶骨骨折导致小肠嵌顿并引起小肠梗阻的病例。即使采用当前的成像方法,这一重要诊断也很罕见且难以做出。我们报告了一例小肠被困于骶骨Denis II型骨折的病例,该病例需要进行剖腹手术、小肠切除术,并在骨折部位覆盖网膜补片。该病例预后良好,无残留后遗症。