جراحی ترمیمی آسیب وسیع لگن و اندام تناسلی به‎دنبال ترومای سلاح گرم: گزارش یک مورد

Background: perineal trauma is a common problem during operational conflicts that is a surgical emergency.case report: in this case report, a 25-year-old man was referred to our hospital because of penetrating trauma caused by gunshot. the patient had severe pain, decline of hemoglobin and decreased blood pressure. an emergency surgery was performed immediately. during surgery, a complete destruction of the right testis, cutting the root of the penis and urethra, bladder large rupture, the rupture of the ileum and approximately two liters of blood in the peritoneal space was observed. resection and the anastomosis of bowel were done, and abdominal vascular and bladder rupture were also repaired. his penis and urinary tract were repaired, as well. right testis was removed and the cystostomy drain was fixed and the wall was repaired. the patient did not have urinary problems and his erection was normal during follow-up period.conclusion: this report showed that the multidisciplinary emergency surgery during the least possible time can lead to complete repair of extensive injury to the pelvis and genitalia following gunshot trauma, and the patient had normal and stable condition without any urinary and sexual disorder in seven months follow-up.