A Case of Recto-Vesico-Cutaneous Fistula Following Perineal Injury by Wild BoarCorrespondence Address :
Dr. Umesh Ravikant Shelke,
Department of Urology, 8th floor, MSB building, Seth GS Medical College & KEM Hospital,
Mumbai-400012, Maharashtra, India.
It is very uncommon for a boar to become aggressive in nature against human unless they are cornered. A wild boar attacked a 24-year-old male from behind in perineal region. At presentation, he had continuous dribbling of urine and fecal matter from perineal wound. On CT-scan, a well defined tract delineated by contrast was seen between postero-lateral aspect of bladder and anterior wall of rectum, and there was contrast extravasation through perineal wound. After resuscitation, fistula was repaired through abdominal approach, and perineal wound was debrided. Emergency physician should be aware of such cases as increasing deforestation and shifting of humans to sub-urban area, have resulted in increased incidences of wild boar attack. Prompt stabilization of patient, treatment of infection with proper antibiotics, prevention of tetanus and rabies infection and emergency surgical interventions are necessary to reduce morbidity and mortality from such trauma.
Exploratory laparotomy, Diversion colostomy, Perineal wound
Pravin D. Bhingare, Umesh Ravikant Shelke, Yogesh A. Bang. A CASE OF RECTO-VESICO-CUTANEOUS FISTULA FOLLOWING PERINEAL INJURY BY WILD BOAR. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jan 21 ]; 10:PD03-PD04. Available from
Date of Submission: Nov 23, 2015
Date of Peer Review: Jan 25, 2016
Date of Acceptance: Feb 05, 2016
Date of Publishing: May 01, 2016
Financial OR OTHER COMPETING INTERESTS: None.
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