Sheathed goring: an unusual bull-horn injury

Riesco, Ana Benítez; Moreno, María del Carmen Fernández; Alfosea, Claudia Gil; Rodrigo, David Casado

doi:10.1016/j.cireng.2023.10.011

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"at0015" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "A 44-year-old man was referred after suffering bruises from bull horns. He complained of abdominal pain. Haemodynamically stable, he had contusion in the right hypochondrium with palpable evisceration and intact skin (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Urgent CT scan described periduodenal evisceration and rarefaction (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Emergency surgery was performed, evidencing evisceration of the small intestine in the right hypochondrium due to a 10 cm defect with mesenteric laceration (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). The lesion was repaired by primary closure and retromuscular mesh. Postoperative period was without incidents and follow-up confirmed no recurrence of hernia.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia>Sheathed goring accounts for <2% of abdominal wounds caused by bull horns and requires a high degree of suspicionConflict of interestNone of the authors have any conflict of interest." 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