Keywords
Subcutaneous penetrating lesion
Emphysema
Cattle
Bull
How to Cite
Abstract
A 45-year-old man had an unfortunate encounter with a bull while working with cattle in his spare time. He was lifted into the air and sustained a penetrating injury to the groin. He was received as a trauma patient, and a CT scan revealed a 20 cm deep tract without perforation into the abdomen. The outcome was favorable, but the case highlights the importance of systematically evaluating high-energy trauma based on the mechanism of injury and performing relevant examinations, even when the patient is ABC-stable.
References
Ehrhard S, Botte F, Klukowska-Rötzler J, Exadaktylos AK, Jakob DA. Cattle-related trauma: a 10-year retrospective cohort study of patients admitted to a single tertiary trauma centre in Switzerland. Swiss Med Wkly. 2022;152:w30201. DOI: https://doi.org/10.4414/SMW.2022.w30201.
Durso AM, Paes FM, Caban K, Danton G, Braga TA, Sanchez A, Munera F. Evaluation of Penetrating Abdominal and Pelvic Trauma. European Journal of Radiology. 2020;130:66–72. DOI: https://doi.org/10.1016/j.ejrad.2020.109187
Saar S, Jorgensen J, Lemma AN, Gaarder C, Naess PA, Leppäniemi A, Sallinen V, Pius R, Reinsoo A, Lepp J, Talving P. Selective non-operative management of penetrating abdominal injuries at Northern European trauma centers: the NordiPen Study. European Journal of Trauma and Emergency Surgery. 2022;48:2023–2027. DOI: https://doi.org/10.1007/s00068-021-01749-2
Martin MJ, Brown CVR, Shatz DV, Alam HB, Brasel KJ, Hauser CJ, de Moya M, Moore EE, Rowell SE, Vercruysse GA, Baron BJ, Inaba K. Evaluation and management of abdominal stab wounds: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg. 2018 Nov;85(5):1007–1015. DOI: https://doi.org/10.1097/TA.0000000000001930
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