Buchanan J R
Clin Orthop Relat Res. 1980 Mar-Apr(147):164-6.
A 13-year-old boy sustained an acetabular fracture which was complicated by entrapment of the small bowel. Five days after injury, the incarcerated bowel was freed from the fracture site, and primarily reanastamosed after excision of a 5-cm segment. The postoperative course was complicated by a prolonged fever of unknown origin which finally was attributed to hepatitis. Ten months after injury, the patient was ambulating with the aid of a cane. Only 5 comparable cases of mechanical entrapment of small bowel in pelvic fractures were found in the literature. In all 5, the diagnosis was difficult, and in 2, the patients died from this complication of pelvic fracture. The possibility of bowel entrapment should be considered in all instances of prolonged ileus associated with pelvic fracture.
一名13岁男孩发生髋臼骨折，并伴有小肠嵌顿。受伤5天后，将嵌顿的肠管从骨折部位松解，并在切除5厘米肠段后进行一期吻合。术后病程因不明原因的长期发热而复杂化，最终归因于肝炎。受伤10个月后，患者借助拐杖行走。文献中仅发现5例骨盆骨折合并小肠机械性嵌顿的类似病例。在所有5例中，诊断都很困难，其中2例患者死于骨盆骨折的这种并发症。在所有与骨盆骨折相关的长期肠梗阻病例中，都应考虑肠管嵌顿的可能性。
