Skip to main content
Erschienen in: Forensic Science, Medicine and Pathology 4/2021

09.07.2021 | Images in Forensics

Traumatic herniation of intestine through ruptured skin at the ankle

verfasst von: Siddhartha Das, Kirthika Ravi

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

Vehicular runover of pedestrians is a commonly reported occurrence in literature. The usual presentations at autopsy are avulsion of the intra-abdominal viscera, solid organ crushing, hemorrhage, fracture of pelvic bone and vertebra, and herniation of the abdominal contents. There are reports of many cases where the abdominal and thoracic viscera have herniated out of their respective compartment following rupture of the diaphragm. Herniation of the intestine through natural orifices or other anatomical openings of the body has also been reported. This herniation occurs following a reduction in the anteroposterior diameter and acute increase in intra-abdominal pressure, displacing the abdominal contents out of their normal position through some natural anatomical openings inside the body following the path of least resistance. We report an interesting case of vehicular runover where the intestinal coils have come out of the body at the ankle. The authors describe the plausible mechanism and the route through which the intestine could have traversed.
Literatur
1.
Zurück zum Zitat Coleman JJ, Fitz EK, Zarzaur BL, Steenburg SD, Brewer BL, Reed RL, et al. Traumatic abdominal wall hernias: Location matters. J Trauma Acute Care Surg. 2016;80:390–7.CrossRef Coleman JJ, Fitz EK, Zarzaur BL, Steenburg SD, Brewer BL, Reed RL, et al. Traumatic abdominal wall hernias: Location matters. J Trauma Acute Care Surg. 2016;80:390–7.CrossRef
2.
Zurück zum Zitat Das S, Kumar V. Avulsion injuries of the male external genitalia and rupture of the diaphragm following road traffic accident. J Forensic Leg Med. 2011;18:380–2.CrossRef Das S, Kumar V. Avulsion injuries of the male external genitalia and rupture of the diaphragm following road traffic accident. J Forensic Leg Med. 2011;18:380–2.CrossRef
3.
Zurück zum Zitat Kaur R, Prabhakar A, Kochhar S, Dalal U. Blunt traumatic diaphragmatic hernia: Pictorial review of CT signs. Indian J Radiol Imaging. 2015;25:226–32.CrossRef Kaur R, Prabhakar A, Kochhar S, Dalal U. Blunt traumatic diaphragmatic hernia: Pictorial review of CT signs. Indian J Radiol Imaging. 2015;25:226–32.CrossRef
4.
Zurück zum Zitat Gelas T, Combet S, Perinel J, Javouhey E, Mure PY. Transrectal small bowel evisceration after abdominal crush injury. J Paed Surg. 2012;47:E53–6.CrossRef Gelas T, Combet S, Perinel J, Javouhey E, Mure PY. Transrectal small bowel evisceration after abdominal crush injury. J Paed Surg. 2012;47:E53–6.CrossRef
5.
Zurück zum Zitat Terrosu G, Rossetto A, Kocjancic E, Rossitti P, Bresadola V. Anal avulsion caused by abdominal crush injury. Tech Coloproctol. 2011;15:465–8.CrossRef Terrosu G, Rossetto A, Kocjancic E, Rossitti P, Bresadola V. Anal avulsion caused by abdominal crush injury. Tech Coloproctol. 2011;15:465–8.CrossRef
6.
Zurück zum Zitat Prahlow JA, Byard RW. Blunt force injury deaths. In: Prahlow JA, Byard RW, editors. Atlas of forensic pathology. 1st ed. New York: Springer; 2012. p. 389–486.CrossRef Prahlow JA, Byard RW. Blunt force injury deaths. In: Prahlow JA, Byard RW, editors. Atlas of forensic pathology. 1st ed. New York: Springer; 2012. p. 389–486.CrossRef
7.
Zurück zum Zitat Saukko P, Knight B. Transportation injuries. In: Saukko P, Knight B, editors. Knight’s forensic pathology. 4th ed. Boca Raton: CRC Press; 2016. p. 277–97. Saukko P, Knight B. Transportation injuries. In: Saukko P, Knight B, editors. Knight’s forensic pathology. 4th ed. Boca Raton: CRC Press; 2016. p. 277–97.
8.
Zurück zum Zitat Biswas S, Vedanayagam M, Hipkins G, Leather A. Acute direct inguinal hernia resulting from blunt abdominal trauma: Case report. World J Emerg Surg. 2010;5:16.CrossRef Biswas S, Vedanayagam M, Hipkins G, Leather A. Acute direct inguinal hernia resulting from blunt abdominal trauma: Case report. World J Emerg Surg. 2010;5:16.CrossRef
9.
Zurück zum Zitat Chow KL, Smith-Singares E, Doherty J. A traumatic direct inguinal hernia from pelvic ring disruption. Case Rep Surg. 2018;1–3. Chow KL, Smith-Singares E, Doherty J. A traumatic direct inguinal hernia from pelvic ring disruption. Case Rep Surg. 2018;1–3.
10.
Zurück zum Zitat Tinner C, Odermatt M, Villiger P. Rare case of large bowel injury due to direct blunt trauma to a preexisting femoral hernia. Case Rep Surg. 2017;1–3. Tinner C, Odermatt M, Villiger P. Rare case of large bowel injury due to direct blunt trauma to a preexisting femoral hernia. Case Rep Surg. 2017;1–3.
11.
Zurück zum Zitat Caggiati A, Mendoza E, Murena-Schmidt R, Lattimer CR. Anatomy of the superficial veins. In: Mendoza E, Lattimer CR, Morrison N, editors. Duplex ultrasound of superficial leg veins. 1st ed. Heidelberg: Springer; 2014. p. 19–47. Caggiati A, Mendoza E, Murena-Schmidt R, Lattimer CR. Anatomy of the superficial veins. In: Mendoza E, Lattimer CR, Morrison N, editors. Duplex ultrasound of superficial leg veins. 1st ed. Heidelberg: Springer; 2014. p. 19–47.
12.
Zurück zum Zitat Ulu MA, Çakmak M, Nas K. A case of tibialis anterior muscle herniation diagnosed by ultrasonography. Turk J Phys Med Rehab. 2013;59:73–5. Ulu MA, Çakmak M, Nas K. A case of tibialis anterior muscle herniation diagnosed by ultrasonography. Turk J Phys Med Rehab. 2013;59:73–5.
Metadaten
Titel
Traumatic herniation of intestine through ruptured skin at the ankle
verfasst von
Siddhartha Das
Kirthika Ravi
Publikationsdatum
09.07.2021
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 4/2021
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-021-00399-5

Weitere Artikel der Ausgabe 4/2021

Forensic Science, Medicine and Pathology 4/2021 Zur Ausgabe

Neu im Fachgebiet Pathologie