Gluteal stab wound is a frequent and potentially dangerous injury

Sergio Susmallian, Tiberiu Ezri, Marina Elis, Katia Dayan, Ilan Charuzi, Michael Muggia-Sullam

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background: Stab wounds to the gluteal area are a frequent injury in an urban trauma centre. These injuries may appear innocuous but is potentially life threatening. Therefore they deserve timely evaluation and management. The purpose of this study was to evaluate our experience with this type of injury and to propose a treatment protocol. Methods: During the last 5 years 269 patients with stab injuries, were admitted to our Department of Emergency Medicine (DEM). Thirty-nine patients (14%) who had gluteal penetration were included in this study. Patients' charts were retrospectively reviewed for demographic data, type of injury and additional injuries, evaluation, management and outcome. Results: Stab wound of the gluteal region was the most frequent injury after chest and abdominal injuries. Thirty patients presented with soft tissue damage only and nine were severely injured. Seven of the severely injured patients had significant bleeding; two of them were treated by embolisation. One patient suffered a rectal injury and one a small bowel perforation, both treated surgically. There was no post-operative complication or mortality. Conclusions: Penetration of the gluteal is a potentially life threatening injury. Meticulous observation and high level of suspicion ensure early treatment and can prevent mortality.

Original languageEnglish
Pages (from-to)148-150
Number of pages3
JournalInjury
Volume36
Issue number1
DOIs
StatePublished - 1 Jan 2005
Externally publishedYes

Keywords

  • Gluteal
  • Stab wound
  • Trauma

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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