Authors: Yifan Ng, Antony Xavier Rex Premchand, Mark Chin Hung Tan, Jill Cheng Sim Lee.
Perineal injuries following open pelvic fractures are rare but associated with significant risk of sepsis, haemorrhage, mortality and long-term sequelae such as urinary, faecal and flatus incontinence or sexual dysfunction.
Literature review was performed following the case of a 24-year-old nulliparous lady who presented with a perineal injury following an open pelvic fracture. Early gynaecological consult was obtained. External fixation of the pelvic fracture, surgical debridement and repair of the perineal injury was carried out.
The patient recovered well post-operatively without any major complications such as sepsis or infection, and was mobilising well at 3 months follow-up with no urinary, flatus or faecal incontinence.
Early gynaecological involvement in cases of perineal injury following open pelvic fractures is important to prevent short-term complications as well as long-term urinary, faecal and flatus incontinence and sexual dysfunction.
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