Case Report
Copyright ©The Author(s) 2019.
World J Clin Cases. Aug 6, 2019; 7(15): 2120-2127
Published online Aug 6, 2019. doi: 10.12998/wjcc.v7.i15.2120
Table 1 Demographic and clinical profile of the cases of compression injury of the lower abdomen in the literature
Age (sex)Cause of injuryLocationSymptom and signAuxiliary examinationAssociated injuries
44 (M)Car crashRightCold right lower leg; absent right femoral, popliteal, and pedal pulses; absent left popliteal and pedal pulsesAngiographySubarachnoid and intraventricular hemorrhage and diffuse axonal injury; subcapsular hematoma of the liver, splenic laceration, comminuted fracture of the left iliac wing, and widening of the left sacroiliac joint; contusion of the mid-abdomen
27 (M)Crushed between a fork-lift truck and a concrete platformBilateralCold and loss of motor function for both feet, with the right foot being worse; no femoral or pedal pulseDoppler scanning; arteriographyPelvic and right acetabular fracture; retroperitoneal bladder rupture; abdominal wall disruption
74 (F)Seatbelt injuryBilateral (aortic bifurcation disruption)Pulseless and coldNoContusion of chest wall and left lung; complete disruption of the lower abdominal muscles; intestinal transection with mesenteric disruption
26 (M)Abdominal and lumbar spine compression in a metal pressLeftCold and pale; reduction of power and sensory loss; no pulsation of the femoral arteryACTAContusion of the abdominal wall; retroperitoneal hematoma in the left psoas muscle
9 (M)Seatbelt-related injuryRight (aortic dissection)A cold right lower legMRAIntestinal perforation; fractures of the lumbar spine
51 (M)Abdomen compression by a tractor against a house wallRight (aortic dissection)Cold and pale; no palpable artery pulsesACTATraumatic perforations of the ileum and transversal colon
35 (M)Seatbelt injuryRightAbsent right femoral, popliteal, and posterior tibial pulsesNoMultiple scalp and face lacerations; bowel transections of descending colon and one segment of the small bowel
56 (M)Lower abdomen compression between two forkliftsLeftPain; cold and numb; pulsation of the left dorsal pedal artery disappearedACTATransection of small intestine