Ann Trauma Acute Care | Volume 4, Issue 1 | Case Report | Open Access

Case Report: A Rare Case of Extensive Subcutaneous Emphysema from Extra-Peritoneal Rectal Injury in a Patient with Unstable Pelvic Fracture

Segni Kejela^*

Department of Surgery, Tikur Anbessa Specialized Hospital, Addis Ababa University, Ethiopia

^*Correspondance to: Segni Kejela 

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Abstract

Background: Pelvic injuries and its associated pelvic organ injuries are not rare, but extensive subcutaneous emphysema from extra-peritoneal rectal injury is; especially in trauma scenarios. Case Description: Our case is a 16 years old male patient presented after a fall accident from a moving vehicle sustaining unstable Tile C pelvic fracture with hemorrhagic shock, extra-peritoneal bladder and rectal injury with extensive subcutaneous emphysema. The patient was investigated with X-ray and CT scan imaging and resuscitated with crystalloids and blood products. He succumbed at the emergency department after significant delay for operative management decision and preparation. Conclusion: This is truly a diagnosis that should have been made intraoperatively and no delay should have occurred for any diagnostic modality in such patient in extremis.

Keywords:

Subcutaneous emphysema; Rectal injury; Unstable pelvic fracture

Citation:

Kejela S. Case Report: A Rare Case of Extensive Subcutaneous Emphysema from Extra-Peritoneal Rectal Injury in a Patient with Unstable Pelvic Fracture. Ann Trauma Acute Care. 2020;4(1):1019..