Padilla-Fernandez B, Diaz-Alferez F J, Garcia-Garcia M A, Herrero-Polo M, Velasquez-Saldarriaga J F, Lorenzo-Gomez M F
Department of Urology, University Hospital of Salamanca. University of Salamanca, Spain.
Clin Med Insights Case Rep. 2012;5:123-8. doi: 10.4137/CCRep.S10234. Epub 2012 Sep 24.
Pelvic-abdominal injuries caused by goring are serious lesions which require rapid diagnosis and urgent treatment in the context of a polytraumatized patient. The simultaneous rupture of both the bladder and the prostatic-membranous urethra occurs in 10%-29% of males with pelvic fractures but bladder neck injuries in adults are rarer. Unstable pelvic fractures, bilateral fractures of the ischiopubic branches (also referred to as fractures from falling astride) and the diastasis of the pubic symphysis are those that have the greatest likelihood of injuring both the posterior urethra and the bladder. We present a case of perineal bull horn injury with muscle laceration, bone fractures, scrotal avulsion and rupture of the bladder neck involving the right ureter which required two operations to be repaired.
被牛角顶伤导致的盆腔腹部损伤是严重的创伤，对于多发伤患者需要快速诊断和紧急治疗。膀胱和前列腺膜部尿道同时破裂在10%-29%的男性骨盆骨折患者中会出现，但成人膀胱颈部损伤较为少见。不稳定骨盆骨折、耻骨坐骨支双侧骨折（也称为骑跨伤骨折）以及耻骨联合分离是最有可能同时损伤后尿道和膀胱的情况。我们报告一例会阴牛角伤病例，伴有肌肉撕裂、骨折、阴囊撕脱以及膀胱颈部破裂累及右侧输尿管，该病例需要进行两次手术修复。
