Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions
We present the case of a 21 years-old male who suffered major multiple injuries as the result of a mine explosion occurred on 19/09/23 in Armenia. They included shrapnel wounds involving the penile urethra, the bladder, the rectum, the anal canal and the upper and lower extremities and multiple frac...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644025000779 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849406581672771584 |
|---|---|
| author | Francesco Quaglino Antonella Evangelista Marta Breda Sara Ruscio Gianluca Collo Luca Cestino Maria Antonucci Stefania Soncini Beatrice Degan Salome Pfannkuche Elisa Berdondini |
| author_facet | Francesco Quaglino Antonella Evangelista Marta Breda Sara Ruscio Gianluca Collo Luca Cestino Maria Antonucci Stefania Soncini Beatrice Degan Salome Pfannkuche Elisa Berdondini |
| author_sort | Francesco Quaglino |
| collection | DOAJ |
| description | We present the case of a 21 years-old male who suffered major multiple injuries as the result of a mine explosion occurred on 19/09/23 in Armenia. They included shrapnel wounds involving the penile urethra, the bladder, the rectum, the anal canal and the upper and lower extremities and multiple fractures of the pelvis. Initially he underwent a stabilizing surgery at the field hospital; he was then transferred to the Astghik Medical Center where a new emergency surgery was performed with the creation of a lateral colostomy and the placement of a midline cystostomy drainage.On 08/10/23, the patient was admitted to the Department of Surgery at Maria Vittoria Hospital in Turin, Italy, with signs of sepsis. Broad-spectrum intravenous antibiotic therapy was promptly initiated. A week later, due to the persistence of the septic state, we performed a surgical abdominal revision consisting of a drainage of multiple intraperitoneal abscesses and resection of the injured rectal tract with conversion of the lateral colostomy into a terminal one, a direct repair of a leakage found in the bladder and a replacement of the cystostomy dreinage. The patient was discharged in good conditions 45 days after surgery.Five months later, the patient underwent a Hartmann's reversal with a Knight-Griffen anastomosis combined with urethral and perineal reconstruction, pubectomy, cystorrhaphy and placement of a new lateral cystostomy. The patient was discharged 45 days after surgery in good clinical conditions. The cystocath and the bladder catheter were removed in outpatient setting two weeks later. |
| format | Article |
| id | doaj-art-abf3fddc1bf0454dbf6b101639876de7 |
| institution | Kabale University |
| issn | 2352-6440 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-abf3fddc1bf0454dbf6b101639876de72025-08-20T03:36:19ZengElsevierTrauma Case Reports2352-64402025-08-015810120010.1016/j.tcr.2025.101200Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesionsFrancesco Quaglino0Antonella Evangelista1Marta Breda2Sara Ruscio3Gianluca Collo4Luca Cestino5Maria Antonucci6Stefania Soncini7Beatrice Degan8Salome Pfannkuche9Elisa Berdondini10Chirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, Italy; Corresponding author at: Chirurgia Generale 1, Ospedale Maria Vittoria, via Cibrario 72, 10144 Torino, Italy.Chirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyOrtopedia – Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyChirurgia Generale 1- Ospedale Maria Vittoria, Torino, ItalyUrologia - Ospedale San Giovanni Bosco, Torino, ItalyWe present the case of a 21 years-old male who suffered major multiple injuries as the result of a mine explosion occurred on 19/09/23 in Armenia. They included shrapnel wounds involving the penile urethra, the bladder, the rectum, the anal canal and the upper and lower extremities and multiple fractures of the pelvis. Initially he underwent a stabilizing surgery at the field hospital; he was then transferred to the Astghik Medical Center where a new emergency surgery was performed with the creation of a lateral colostomy and the placement of a midline cystostomy drainage.On 08/10/23, the patient was admitted to the Department of Surgery at Maria Vittoria Hospital in Turin, Italy, with signs of sepsis. Broad-spectrum intravenous antibiotic therapy was promptly initiated. A week later, due to the persistence of the septic state, we performed a surgical abdominal revision consisting of a drainage of multiple intraperitoneal abscesses and resection of the injured rectal tract with conversion of the lateral colostomy into a terminal one, a direct repair of a leakage found in the bladder and a replacement of the cystostomy dreinage. The patient was discharged in good conditions 45 days after surgery.Five months later, the patient underwent a Hartmann's reversal with a Knight-Griffen anastomosis combined with urethral and perineal reconstruction, pubectomy, cystorrhaphy and placement of a new lateral cystostomy. The patient was discharged 45 days after surgery in good clinical conditions. The cystocath and the bladder catheter were removed in outpatient setting two weeks later.http://www.sciencedirect.com/science/article/pii/S2352644025000779War woundsExplosion injuriesMultiorgan injuryMultidisciplinary approachUrethral reconstructionRectal injuries |
| spellingShingle | Francesco Quaglino Antonella Evangelista Marta Breda Sara Ruscio Gianluca Collo Luca Cestino Maria Antonucci Stefania Soncini Beatrice Degan Salome Pfannkuche Elisa Berdondini Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions Trauma Case Reports War wounds Explosion injuries Multiorgan injury Multidisciplinary approach Urethral reconstruction Rectal injuries |
| title | Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions |
| title_full | Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions |
| title_fullStr | Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions |
| title_full_unstemmed | Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions |
| title_short | Surgical multidisciplinary approach to a complex war case with urological, colorectal and orthopaedics lesions |
| title_sort | surgical multidisciplinary approach to a complex war case with urological colorectal and orthopaedics lesions |
| topic | War wounds Explosion injuries Multiorgan injury Multidisciplinary approach Urethral reconstruction Rectal injuries |
| url | http://www.sciencedirect.com/science/article/pii/S2352644025000779 |
| work_keys_str_mv | AT francescoquaglino surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT antonellaevangelista surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT martabreda surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT sararuscio surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT gianlucacollo surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT lucacestino surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT mariaantonucci surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT stefaniasoncini surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT beatricedegan surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT salomepfannkuche surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions AT elisaberdondini surgicalmultidisciplinaryapproachtoacomplexwarcasewithurologicalcolorectalandorthopaedicslesions |