case_images: PMC5852918_01
case_images: Malposition of both legs
case_images: JETS-11-53-g001.jpg
case_images: PMC5852918_01_JETS-11-53-g001.jpg
case_images: F1
case_images: The left leg was flexed, adducted, and internally rotated [Figure 1].
case_images: "Lodox" shows bilateral hip dislocation (right: anterior-inferior, left: Posterior) and the herniation of visceral organs into the left hemithorax
case_images: JETS-11-53-g002.jpg
case_images: PMC5852918_01_JETS-11-53-g002.jpg
case_images: F2
case_images: Whole-body radiograph with "Lodox" [Figure 2] in the emergency room showed a diaphragmatic rupture with herniation of visceral organs to the left hemithorax, bilateral superior, and inferior pubic rami fractures and bilateral asymmetric hip dislocation.
case_images: Computed tomography scans showing the bilateral superior and inferior pubic rami fractures (a - coronal plane, b - axial plane) as well as the bilateral hip dislocation (c - coronal plane) with an anteroinferior dislocation on the right side (d - axial plane) and a posterior dislocation on the left side (e - axial plane)
case_images: JETS-11-53-g003.jpg
case_images: PMC5852918_01_JETS-11-53-g003.jpg
case_images: F3
case_images: A full-body CT scan confirmed the pelvic fractures, the bilateral hip dislocation [Figure 3], and the rupture of the left diaphragm with herniation of stomach, spleen, and the colon transversum to the left hemithorax [Figure 4].
case_images: Computed tomography scan with traumatic diaphragmatic rupture and herniation of stomach into the left hemithorax, before (a - coronal, b - axial) and after operation (c - coronal, d - axial)
case_images: JETS-11-53-g004.jpg
case_images: PMC5852918_01_JETS-11-53-g004.jpg
case_images: F4
case_images: A full-body CT scan confirmed the pelvic fractures, the bilateral hip dislocation [Figure 3], and the rupture of the left diaphragm with herniation of stomach, spleen, and the colon transversum to the left hemithorax [Figure 4].
case_images: Intraoperative view after suturing the diaphragm
case_images: JETS-11-53-g005.jpg
case_images: PMC5852918_01_JETS-11-53-g005.jpg
case_images: F5
case_images: Visceral surgeons achieved hemostasis of the spleen, sutured the diaphragm [Figure 5], serosal and mesenteric lesions of the sigma, and the colon transversum through midline laparotomy.
case_images: Postoperative anteroposterior pelvis X-ray after closed reduction of both hips and osteosynthesis of the anterior pelvic ring (a) and 12 months after injury (b)
case_images: JETS-11-53-g006.jpg
case_images: PMC5852918_01_JETS-11-53-g006.jpg
case_images: F6
case_images: Finally, the superior pubic rami fractures were stabilized with a reconstruction plate bridging the symphysis [Figure 6].