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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.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Sheathed goring accounts for <2% of abdominal wounds caused by bull horns and requires a high degree of suspicion</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">None of the authors have any conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 995 "Ancho" => 1641 "Tamanyo" => 144187 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 894 "Ancho" => 1979 "Tamanyo" => 218078 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1378 "Ancho" => 1642 "Tamanyo" => 342596 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010200000006/v1_202406180525/S217350772400005X/v1_202406180525/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010200000006/v1_202406180525/S217350772400005X/v1_202406180525/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217350772400005X?idApp=UINPBA00004N" ]
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Sheathed goring: an unusual bull-horn injury
Cornada envainada: una lesión por asta de toro infrecuente
Ana Benítez Riesco
, María del Carmen Fernández Moreno, Claudia Gil Alfosea, David Casado Rodrigo
Corresponding author
Servicio de Cirugía General, Hospital Clínico de Valencia, Valencia, Spain