Citation

Okano I, Midorikawa Y, Kushima N, Watanabe Y, Sugiyama T, Mitachi K, Shinohara K, Sawada T, Inagaki K. Wilderness Environ. Med. 2018; 29(3): 375-379.

Affiliation

Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan (Dr Inagaki).

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.wem.2018.02.007

PMID

29731409

Abstract

Wild boar attacks have rarely been reported in the medical literature. This is the case of an 83-year-old male farmer who was assaulted from behind by an injured adult wild boar. He presented with hemorrhagic shock after sustaining injuries to the right profunda femoris artery and right sciatic nerve as well as significant soft-tissue injuries, bilateral iliac wing fractures, an open pneumothorax, and an anorectal injury. The anorectal injury was treated with fecal diversion but was complicated by soft-tissue infection in the surrounding dead space. The patient needed multiple operations, including removal of the distal rectum and creation of a permanent colostomy. In this report, we highlighted the characteristics of anorectal trauma caused by a wild boar attack. We conclude that penetrating anorectal injuries caused by this type of attack can be associated with extensive soft-tissue damage despite externally appearing to be simple puncture wounds. Anorectal combat injuries have demonstrated similar extensive surrounding soft-tissue injuries and propensity for infection; therefore, this case supports adopting a similar treatment strategy, that of serial and radical debridement, to treat certain wild boar injuries.

Copyright © 2018 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

anorectal trauma; degloving injury; infection; vascular injury