Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지
DOI QR코드

DOI QR Code

Penetrating sacral injury with a metallic pipe: a case report and literature review

  • Ha, Mahnjeong (Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Nam, Kyoung Hyup (Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kim, Jae Hun (Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Han, In Ho (Department of Neurosurgery and Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
  • Received : 2021.08.11
  • Accepted : 2021.09.19
  • Published : 2022.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Other than gunshot injuries, sacral penetrating injuries with a foreign body exiting to the other side are extremely rare. We encountered a case of sacral injury in which a long metallic pipe penetrated from the anus into the lower back of a patient. Since the pelvis contains various organs, management of a penetrating injury requires multidisciplinary treatment involving several medical specialties. Due to the infrequency of this type of injury, there are no definitive guidelines for effective management. We described our experience surgically treating a sacral penetrating injury and conducted a literature review. On this basis, we suggest a surgical strategy for treating this type of injury.

Keywords

References

  1. Sarica C, Yucetas SC, Ucler N, et al. Steel rod impalement injuries involving the spine: a case report and literature review. Ulus Travma Acil Cerrahi Derg 2019;25:417-23.
  2. Chen Y, Tang Y, Vogel LC, Devivo MJ. Causes of spinal cord injury. Top Spinal Cord Inj Rehabil 2013;19:1-8.
  3. Ozaydin S, Gulleroglu A, Karaaslan B, et al. Penetrating injury caused by a long iron bar: a case report. North Clin Istanb 2018;5:75-8.
  4. Ritchie ED, Veen EJ, Olsman J, Bosscha K. A case of bowel entrapment after penetrating injury of the pelvis: don't forget the omentumplasty. Scand J Trauma Resusc Emerg Med 2011;19:34.
  5. Tokushige J, Inokuchi A, Kawaguchi H. Impalement injuries involving the spinal canal. J Orthop Sci 2000;5:614-7. https://doi.org/10.1007/s007760070015
  6. Schildhauer TA, Chapman JR, Mayo KA. Multisegmental open sacral fracture due to impalement: a case report. J Orthop Trauma 2005;19:134-9. https://doi.org/10.1097/00005131-200502000-00011
  7. Serletis D, Khoshyomn S, Gerstle JT, Rutka JT. Anterior penetrating sacral injury in a child. Case illustration. J Neurosurg 2005;103(Suppl 5):471.
  8. Wang LT, Wu CC, Hsiao CW, Feng CC, Chang CF, Jao SW. Steel bar penetrating injury of rectum and vertebral body without severe morbidities: report of a case. Dis Colon Rectum 2009;52:346-8. https://doi.org/10.1007/DCR.0b013e318199daed
  9. Zhou Z, Song Y, Cai Q, Li T, Liu H. Penetrating injury of rectum and vertebral body by steel bar causing cauda equina syndrome. Spine (Phila Pa 1976) 2011;36:E803-7. https://doi.org/10.1097/BRS.0b013e3181fab574
  10. Tan H, Guo QS, Zhang LY, Sun SJ, Yao YZ, Huang XY. Abscess formation in vertebral canal and presacral area following penetrating injury of rectum and sacral vertebra by a steel rod. Chin J Traumatol 2012;15:241-3.
  11. Shahlaie K, Chang DJ, Anderson JT. Nonmissile penetrating spinal injury. Case report and review of the literature. J Neurosurg Spine 2006;4:400-8. https://doi.org/10.3171/spi.2006.4.5.400
  12. Kim SK, Park YC, Jo YG, Kang WS, Kim JC. Internal iliac artery ligation with pad packing for hemodynamic unstable open comminuted sacral fracture. J Trauma Inj 2017;30:238-41. https://doi.org/10.20408/jti.2017.30.4.238
  13. Piqueras C, Martinez-Lage JF, Almagro MJ, Ros De San Pedro J, Torres Tortosa P, Herrera A. Cauda equina-penetrating injury in a child. Case report. J Neurosurg 2006;104(Suppl 4): 279-81.
  14. Heary RF, Vaccaro AR, Mesa JJ, Balderston RA. Thoracolumbar infections in penetrating injuries to the spine. Orthop Clin North Am 1996;27:69-81. https://doi.org/10.1016/S0030-5898(20)32051-4
  15. Chang SM, Hou CL. The frequency and efficacy of differential sacral roots innervation to bladder detrusor in Asian people. Spinal Cord 2000;38:773