PMC5116523_01
(a) X-ray image of the pelvic fracture four months after trauma (1); (b) Computed Tomography in the fifth day from admission revealing the fracture of the pelvis (2); (c) magnetic resonance imaging 40 days from admission demonstrating the remnant of the perineal wound defect (3).
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fig1
On arrival, the patient had a systolic blood pressure of 85 mm Hg and a hemoglobin value of 7.1 g/dL (Figure 1).
Illustration of the perineal wound. (a) On first surgical procedure in our center; (b) 48 hours later before packs removal; (c) and (d) 48 hours later, after packs removal, lavage, reinsertion of the anorectum, and large drainage of the pelvic space; (e) negative wound pressure therapy of the perineal wound; (f) healed perineal wound on discharge.
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fig2
The patient was transported to the operating room, and perineal lavage, hemostasis, and repacking were performed (Figure 2).