PMC3201103_01
CT scan showing lacerated transverse colon entrapped in the traumatic abdominal wall hernia (arrows) (A) and open book pelvic fracture (arrows) associated with retroperitoneal hematoma (B).
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The enhanced CT scan demonstrated a large disruption of the abdominal lateral muscles (transversus abdominis muscle, abdominal internal oblique muscle, and abdominal external oblique muscle), transverse colon protrusion, and the presence of subcutaneous emphysema at the site (Fig. 1A). Furthermore, CT scan showed liver injury, lacerations of the duodenum and head of the pancreas, and open book pelvic fracture associated with retroperitoneal hematoma (Fig. 1B).
Resected specimen of right hemicolectomy (A) and pancreatoduodenectomy (B). The transverse colon and duodenum were lacerated (arrows).
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Right hemicolectomy with ileostomy and pancreatoduodenectomy were accomplished (Fig. 2A, B).
CT scan on the seventh postoperative day showing abscess formation with intramuscular spread in the abdominal wall (arrows).
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CT scan on the seventh postoperative day showed abscess formation with intramuscular spread in the abdominal wall (Fig. 3).