Pelvic trauma and ovarian teratoma ropture secondary to road accident

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CASE HYSTORYWe present a case of a 17 years old female victims of road accident, pedestrian run over. The prehospital evaluation report: head rauma, chest trauma with pleural effusion, suspicious free fluid abdomen. INVESTIGATION/RESOULTSIn hospital the CT scan demonstarted freefluid with high density in abdomen with a sosuspicious of gynecological lesion. Ilo-ischio, sacral fins and limb fracture,without nerve and vessel lesions.Gynecologycal US evaluation confirmed bleeding.DIAGNOSISropture of large right ovarian,Right limb frature,right ileoischiopubic fracture and sacral fins fracture no vessel and nerve lesionTHERAPY AND PROGRESSIONThe patients undergo to laparoscopy esploration with evidence of mixed free fluid and a ropture of large right ovarian teratoma,complete excision of the cyst, toelette e drainage of abdomen was performed.Stabilization with medulalry nail for the frature of the limb was performed by ortohpedic surgeon.NOM for pelvic and sacral Fracture.The postoperative outcome was without organic complication, removal of dreinage in III POD, starting of FKT during the recovery and discharged at home for the continuation of fkt and outpatients control. The patient has experienced post-traumatic stress disorder with taking charges by psycological hospital service COMMENTSMajor trauma patients experience a 20% mortality rate overall, and many survivors remain permanently disabled. Survival after major trauma is considered to be time dependent. Severe injuries rapresent a considerable public health burden, with significant personal and societal costs. In Italy, the estimated cost of trauma care accounts for about 7% of the overall public healthcare costs. REFERENCES 1.Non-operative management for abdominal solidorgan injuries: A literaturereviewA Kanlerd*&A Chinese Journal of Traumatology 25 (2022) 249e256 2.Abominal trauma: from operative to nonoperativemanagementLLeenenInjury, Int. J. Care Injured (2009) 40S4, S62– S68

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