Pelvic Ring Fracture Accompanying Traumatic Thrombosis and Posterior Peritoneum Hernia in a 2-Year-Old Child: A Case Report

Int J Low Extrem Wounds. 2018 Jun;17(2):130-132. doi: 10.1177/1534734618764545. Epub 2018 Mar 26.

Abstract

A 2-year-old girl who was badly injured by a forklift, was presented to the emergency department with open and comminuted pelvic fracture, dislocation of right sacroiliac jointand femoral neck fracture on the left side. An urgent debridement was performed. However, postoperatively, the girl had apparent abdominal distension. The results of contrast-enhanced CT implied that the intestineherniated through the fissure formed by dislocation of the sacroiliac joint, which was confirmed during the operation. Therefore, hernia repair and reduction of the sacroiliac joint were performed by a Multidisciplinary team.With regard to patient's age, the sacroiliac joint was reduced and sutured with two absorbable anchors. The fracture healed in the following 3 months after discharge.

Keywords: amputation; children; pelvic fracture; traumatic hernia.

Publication types

  • Case Reports

MeSH terms

  • Amputation, Surgical / methods*
  • Child, Preschool
  • Female
  • Fracture Fixation, Internal / methods*
  • Fractures, Bone* / diagnosis
  • Fractures, Bone* / surgery
  • Hernia* / diagnosis
  • Hernia* / etiology
  • Herniorrhaphy / methods*
  • Humans
  • Pelvic Bones* / injuries
  • Pelvic Bones* / surgery
  • Pelvis / diagnostic imaging
  • Pelvis / surgery
  • Sacroiliac Joint / injuries
  • Sacroiliac Joint / surgery
  • Thrombosis / etiology
  • Thrombosis / surgery*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome