Bowel perforation due to traumatic hernia at a pelvic fractu
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A 65-year-old female was presented for further examination and treatment of ileus. She was diagnosed with bowel perforation due to a traumatic hernia at a pelvic fracture site, and an emergency operation was thus immediately performed. We performed segmental jejunum resection and constructed jejunostomy and the iliac bone fracture was fixed with four pins. In the postoperative course, she received antibiotics and vasopressors for septic shock.However, there was no need for either a ventilator, dialysis or admission to the ICU. At seven days after the operation, a residual abscess was detected in the pouch of Douglas. Percutaneous drainage (Clavien-Dindo IIIa) and jejunostomy closedown 35 days after the first operation were performed.The postoperative course was without complication, but she received rehabilitation until she was able to walk unaided. She was discharged 64 days after the first operation...

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