Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지
DOI QR코드

DOI QR Code

Rectal Perforation Associated with a Pelvic Fracture Managed with Lateral Caudal Axial Pattern Flap Surgery Using the Tail to Skin Defect in a Mixed-Breed Dog

  • Lee, Jongjin (College of Veterinary Medicine, Jeonbuk National University) ;
  • Kang, Jinsu (College of Veterinary Medicine, Jeonbuk National University) ;
  • Kim, Namsoo (College of Veterinary Medicine, Jeonbuk National University) ;
  • Heo, Suyoung (College of Veterinary Medicine, Jeonbuk National University)
  • Received : 2021.07.26
  • Accepted : 2021.10.12
  • Published : 2021.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Complications of pelvic fractures and sacroiliac joint luxation include hemoabdomen, pulmonary trauma, and soft tissue injury. Among them, rectal perforation accounts for 1% of pelvic fracture complications. Delayed diagnosis is commonly associated with a poor prognosis. A mixed-breed dog was presented to Jeonbuk Animal Medical Center (JAMC) after a traffic accident with no signs of rectal perforation. After fracture surgery, rectal perforation was seen as a perianal fistula. This report describes a case of a perianal fistula progressed from rectal perforation after a traffic accident that was curatively treated with lateral caudal axial pattern flap surgery to the perianal skin.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No.2020R1F1A1075219).

References

  1. Clemens MS, Peace KM, Yi F. Rectal trauma: evidence-based practices. Clin Colon Rectal Surg 2018; 31: 17-23. https://doi.org/10.1055/s-0037-1602182
  2. Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 2002; 195: 1-10. https://doi.org/10.1016/S1072-7515(02)01197-3
  3. Fransson BA. Rectocutaneous fistulas. Compend Contin Educ Vet 2008; 30: 224-227, 230-235; quiz 235-236.
  4. Gwak J, Lee MA, Yu B, Choi KK. Rectal injury associated with pelvic fracture. J Trauma Inj 2016; 29: 201-203. https://doi.org/10.20408/jti.2016.29.4.201
  5. Hoffberg JE, Koenigshof AM, Guiot LP. Retrospective evaluation of concurrent intra-abdominal injuries in dogs with traumatic pelvic fractures: 83 cases (2008-2013). J Vet Emerg Crit Care (San Antonio) 2016; 26: 288-294. https://doi.org/10.1111/vec.12430
  6. Lewis DD, Beale BS, Pechman RD, Ellison GW. Rectal perforations associated with pelvic fractures in sacroiliac fracture-seperations in four dogs. J Am Anim Hosp Assoc 1992; 28: 175-181.
  7. Muir P. Rectal perforation associated with pelvic fracture in a cat. Vet Rec 1998; 142: 371-372. https://doi.org/10.1136/vr.142.14.371
  8. Phillips IR. A survey of bone fractures in the dog and cat. J Small Anim Pract 1979; 20: 661-674. https://doi.org/10.1111/j.1748-5827.1979.tb06679.x
  9. Streeter EM, Rozanski EA, Laforcade-Buress Ad, Freeman LM, Rush JE. Evaluation of vehicular trauma in dogs: 239 cases (January-December 2001). J Am Vet Med Assoc 2009; 235: 405-408. https://doi.org/10.2460/javma.235.4.405
  10. Tobias KM. Rectal perforation, rectocutaneous fistula formation, and enterocutaneous fistula formation after pelvic trauma in a dog. J Am Vet Med Assoc 1994; 205: 1292-1296.