Stevens Roger J G, Moss Anthony L H
Department of Plastic and Reconstructive Surgery, St Georges Hospital, Blackshaw Road, London, SW17 0QT, UK.
Microsurgery. 2009;29(3):244-6. doi: 10.1002/micr.20608.
A case of a 32-year-old motorcyclist, who sustained an open comminuted fracture of the left tibia and subsequently developed spontaneous cecal perforation following successful fixation of the fracture and reconstruction of the soft tissue defect with a rectus abdominis free flap, is reported. Although benign cecal perforation has been described in patients with thermal burns and blunt trauma of the abdomen or pelvis, our association has not been reported previously in the medical literature. It is important to recognize cecal perforation early as it is associated with a high mortality from peritonitis and septicaemia.
报告了一例32岁的摩托车手，其左胫骨开放性粉碎性骨折，在骨折成功固定并用腹直肌游离皮瓣修复软组织缺损后，随后发生自发性盲肠穿孔。虽然在腹部或骨盆热烧伤和钝性创伤患者中曾有良性盲肠穿孔的描述，但我们所报道的这种关联在医学文献中此前尚未见报道。早期识别盲肠穿孔很重要，因为它与腹膜炎和败血症导致的高死亡率相关。
