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#1
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06-11-2010, 03:30 AM
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Missed Rectal Injury
Examination at the trauma centre included digital rectal examination and rigid sigmoidoscopy/proctoscopy, revealing some blood and pus and an injury to the lateral rectal wall. The patient was transferred immediately to the operating room for debridement of the buttock wound and defunctioning colostomy. On the operating table the nectroci patch on the buttock had expanded to approximately 8cm in diameter. Debridement was commenced but could not keep pace with the rapidly spreading necrotizinf fasciitis. ....The patient eventually died on the operating table when it became apparent the sepsis had spread to include his upper and lower limbs. |