Gluteal Bölgeden Bıçaklanmaya Bağlı Peritoneal Yaralanma: Olgu Sunumu

Öz

Gluteal bölge delici-kesici alet yaralanmaları çoğu zaman minör nitelikte olup lokal yara bakımı yeterli olmaktadır. Ancak zaman zaman hayatı tehdit eden yaralanmalar da gözlenmektedir. Bu yazıda gluteal bölge alt zondan bıçaklanmaya bağlı yaralanma olgusu sunuldu. Olgunun acil serviste takibi sırasında, abdominal hassasiyet ve taşikardi gelişmesi üzerine yapılan değerlendirmede pelvik peritoneal yaralanma tespit edildi. Bu olgularda pelvik ve intraabdominal yaralanmalar olabileceğinin vurgulanması amaçlandı.

Anahtar Kelimeler

• gluteal bölge, penetran, bıçaklanma, periton yaralanması

Peritoneal injury caused by a stab wound to the gluteal region: Case report

Öz

Penetrating traumas to the gluteal region are mostly minor traumas and local wound management usually enough for treatment in this cases. However, life-threatening traumas can also be observed. In this article a stab wound to the gluteal region was presented. After abdominal tenderness and tachycardia was developed in observation period, pelvic peritoneal injury was detected. In this case report it was aimed to emphasize that pelvic and intraabdominal injuries can exist in these cases.

Anahtar Kelimeler

• gluteal region, penetrating, stab wound, peritoneal injury

Kaynakça

1. Ivatury RR, Rao PM, Nallathambi M, Gaudino J, Stahl WM. Pen- etrating gluteal injuries. J Trauma. 1982;22:706-9.
2. Mercer DW, Buckman RF Jr, Sood R, Kerr TM, Gelman J. Ana- tomic considerations in penetrating gluteal wounds. Arch Surg. 1992;127:407-10.
3. Makrin V, Sorene ED, Soffer D, Weinbroum A, Oron D, Kluger Y. Stab wounds to the gluteal region: a management strategy. J Trauma. 2001;50:707-10.
4. Susmallian S, Ezri T, Elis M, Dayan K, Charuzi I, Muggia-Sullam M. Gluteal stab wound is a frequent and potentially dangerous in- jury. Injury. 2005;36:148-50.
5. Fallon WF Jr, Reyna TM, Brunner RG, Crooms C, Alexander RH. Penetrating trauma to the buttock. South Med J. 1988;81:1236-8.
6. Van Oldenrijk J, Unlü C, van Wagensveld BA. Perforation of the ileum after a stab wound of the gluteal region: a case report. Emerg Med J. 2007;24:737-8.
7. Feigenberg Z, Ben-Baruch D, Barak R, Zer M. Penetrating stab wound of the gluteus--a potentially life-threatening injury: case reports. J Trauma. 1992;33:776-8.
8. Rub R, Madeb R, Kluger Y, Chen T, Avidor Y. Posterior urethral disruption secondary to a penetrating gluteal injury. Urology. 2000 1;56:509.