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Summary
Bull horn injuries are uncommon, with abdominal trauma and small intestine prolapse occurring in 60% of cases. Simple wound cleansing and bowel examination are sufficient for managing these specific injuries.
Area of Science:
- Trauma surgery
- Surgical case series
Background:
- Bull horn injuries present a unique challenge in trauma management.
- Understanding the specific injury patterns is crucial for effective treatment.
Purpose of the Study:
- To analyze the patterns of bull horn injuries in a rural population.
- To discuss the management of abdominal bull horn injuries, particularly those involving intestinal prolapse.
Main Methods:
- Retrospective review of 73 cases of bull horn injury admitted between 1966 and 1975.
- Analysis of injury sites, severity, and management strategies.
Main Results:
- The abdomen was the most frequent site of injury.
- Small intestine prolapse occurred in 60% of abdominal injuries.
- Deep visceral injury was uncommon.
Conclusions:
- Bull horn abdominal injuries, especially with intestinal prolapse, have a distinct management approach.
- Conservative management involving cleansing and careful bowel inspection is often adequate for these specific injuries.