PMC5645491_01
The impaling U shape metallic bar penetrated the left side of the pelvis.
gr1.jpg
PMC5645491_01_gr1.jpg
fig0005
The bar penetrated the left side of the pelvis with trajectory toward the right femur through the pelvic cavity (Fig. 1).
(A) Anteroposterior view X-ray in the Trauma Resuscitation unit showing the U shape metallic bar with the right femur fracture. (B) Lateral view X-ray in the Trauma resuscitation unit showing the relation of the metallic bar to the pelvic cavity.
gr2.jpg
PMC5645491_01_gr2.jpg
fig0010
Pelvic and abdominal X-ray assessment showed fracture of the right femur (Fig. 2A & B).
The computerized tomography (CT) scan of abdomen and pelvis demonstrating the anatomy and the injuries related to the impalement.
gr3.jpg
PMC5645491_01_gr3.jpg
fig0015
Computerized tomography (CT) scan of abdomen and pelvis showed that the metallic bar entered from the left side of the pelvis but no exit site was appreciated (Fig. 3).
The impaling metallic bar passing through the sigmoid colon.
gr4.jpg
PMC5645491_01_gr4.jpg
fig0020
The metallic bar was pulled out under vision, through injury of the sigmoid colon with minimal contamination (Fig. 4).
Suturing of the perforation sites in the sigmoid colon.
gr5.jpg
PMC5645491_01_gr5.jpg
fig0025
Repair of the sigmoid colon was performed in two layers with 3-0 Vicryl (absorbable) sutures (Fig. 5).