Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : PD03 - PD04

A Case of Recto-Vesico-Cutaneous Fistula Following Perineal Injury by Wild Boar

Pravin D. Bhingare, Umesh Ravikant Shelke, Yogesh A. Bang

1. Associate Professor, Department of General Surgery, Government Medical College, Nagpur, Maharashtra, India. 2. Super-Speciality Medical Officer, Department of Urology, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra, India. 3. Senior Resident, Department of Gastro-Intestinal Surgery, Asian Heart Institute, Hyderabad, India.

Correspondence Address :
Dr. Umesh Ravikant Shelke,
Department of Urology, 8th floor, MSB building, Seth GS Medical College & KEM Hospital,
Mumbai-400012, Maharashtra, India.
E-mail: drumshelke@gmail.com

Abstract

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.

Keywords

Exploratory laparotomy, Diversion colostomy, Perineal wound

How to cite this article :

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
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=PD03-PD04&id=7769

DOI and Others

DOI: 10.7860/JCDR/2016/17947.7769


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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