PMC6656956_01
Open book pelvic fracture.
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He had a blunt abdominal injury, broken ribs in his chest, a right pneumothorax, hemothorax at both sides and an open book pelvis fracture (Fig. 1, Fig. 2). A big rupture of the mesentery was found and a big segment of the small bowel (circa 2 m) was ischemic (Fig. 1).
Hemothorax at both sides and right pneumothorax.
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Two chest tubes were placed draining hemothorax at both sides (100cc from the right side and 200cc from the left side), as well as a pelvic binder was placed to stabilize the fracture (Fig. 2, Fig. 3).
Big mesenteric rupture at the surgery.
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An abdominal CT was performed, revealing free fluid without pneumoperitoneum (Fig. 4).