Lim Thiam Chye
Singapore
Case Report
A Case Report of Traumatic Perineal Degloving Injury
Author(s): Joel Lau, Xuxin Lim, Ong Wei Chen, Yap Yan Lin, Jane Lim and Lim Thiam ChyeJoel Lau, Xuxin Lim, Ong Wei Chen, Yap Yan Lin, Jane Lim and Lim Thiam Chye
Introduction: Degloving injuries are most commonly caused by road traffic accidents and industrial accidents. They result from of a large rotational force, which avulses the skin and subcutaneous tissue from the underlying fascia. The majority of such injuries involve the lower extremities. Perineal degloving injury is seldom reported in the literature. Presentation of case: In this case report, we present the case of a 22 year old male pedestrian involved in a motor vehicle accident. He sustained an open perineal degloving injury. Discussion: The management of perineal degloving injuries involves resuscitation and early identification of bony fractures, urogenital or anorectal injuries. Multiple wound irrigation with staged debridement can salvage potentially viable degloved segments. The degloved skin flaps should be secured to the wound bed without tension for the first 5 days. We .. View More»
