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McHenry Christopher R. MD; Jacobs, David G. MD
The Journal of Trauma: Injury, Infection, and Critical Care: June 1994
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Pelvic hematoma necessitans (PHN), a complication of massive hemorrhagic pelvic fracture, is reported in a 48-year-old pedestrian hit by an automobile. It was manifested by a tense hematoma of the buttocks and perineum that spontaneously “necessitated” or drained posterior to the anus 11 days after injury, resulting in complex anorectal morbidity and fecal contamination of a retroperitoneal hematoma and pelvic fracture sites. Early recognition, prompt diverting colostomy, and aggressive wound management are necessary after open pelvic fracture to prevent local and systemic infectious sequelae of PHN.

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