PMC8112415_01
Entry wound about the left hip with purulent drainage and granulation tissue growth.
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F1
A 2.5 cm x 2 cm wound overlay the left hip with granulation tissue and purulent drainage (figure 1).
X-ray (A) and CT of the pelvis revealed a 2.3x1.4x4.5 cm foreign body abutting the urinary bladder (B) with adjacent cortical margin irregularity of the acetabulum and left superior pubic ramus (C) concerning for osteomyelitis.
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F2
CT of the pelvis demonstrated a 2.3x1.4x4.5 cm foreign body abutting the urinary bladder with adjacent left superior pubic ramus fracture and associated cortical margin irregularity about the acetabulum and left superior pubic ramus concerning for osteomyelitis (figure 2). CT scan also noted a 12 cm long soft tissue tract tracking from the pelvis to the skin about the left hip wound.
PMC8112415_02
Beanbag munition and shell casing removed from the deep pelvis.
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F3
These objects were consistent with a beanbag munition and shell casing (figure 3).
Intraoperative fluoroscopy of the pelvis under no stress (A) and stress (B). The superior ramus fracture was found to be stable.
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F4
Object removal and pelvic ring stability were confirmed using intraoperative fluoroscopic imaging and stress examination of the pelvis (figure 4).
PMC8112415_03