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Updated: Aug 15, 2026

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 19, 2010
[Perforation of the sigmoid colon secondary to acetabular fracture]
J Proust1, A Gainant, J L Charissoux
1Service d'Orthopédie Traumatologie, Hôpital Universitaire Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges Cedex.
Abstract:
Traumatic lesions of the colon associated with fracture of the acetabulum occurs in less than 2% of the cases. Direct perforation of the colon by a bony spike, which occurred in our patient, is even more exceptional. We were unable to find any other case reported in the literature. This case illustrates the importance of looking for intestinal lesions in all patients with pelvic injury presenting an unexplained infectious syndrome. Imaging provides clear evidence for avoiding late diagnosis and life-threatening situations.
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