{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:10:25Z","timestamp":1790813425558,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T00:00:00Z","timestamp":1535760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p> Wild boar attacks have rarely been reported in the medical literature. This is the case of an 83-year-old male farmer who was assaulted from behind by an injured adult wild boar. He presented with hemorrhagic shock after sustaining injuries to the right profunda femoris artery and right sciatic nerve as well as significant soft-tissue injuries, bilateral iliac wing fractures, an open pneumothorax, and an anorectal injury. The anorectal injury was treated with fecal diversion but was complicated by soft-tissue infection in the surrounding dead space. The patient needed multiple operations, including removal of the distal rectum and creation of a permanent colostomy. In this report, we highlighted the characteristics of anorectal trauma caused by a wild boar attack. We conclude that penetrating anorectal injuries caused by this type of attack can be associated with extensive soft-tissue damage despite externally appearing to be simple puncture wounds. Anorectal combat injuries have demonstrated similar extensive surrounding soft-tissue injuries and propensity for infection; therefore, this case supports adopting a similar treatment strategy, that of serial and radical debridement, to treat certain wild boar injuries. <\/jats:p>","DOI":"10.1016\/j.wem.2018.02.007","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T23:16:21Z","timestamp":1525389381000},"page":"375-379","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Penetrating Anorectal Injury Caused by a Wild Boar Attack: A Case Report"],"prefix":"10.1177","volume":"29","author":[{"given":"Ichiro","family":"Okano","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery (Drs Okano, Midorikawa, Kushima, and Sawada), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Midorikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (Drs Okano, Midorikawa, Kushima, and Sawada), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobumasa","family":"Kushima","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (Drs Okano, Midorikawa, Kushima, and Sawada), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yui","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Center (Drs Watanabe, Sugiyama, and Shinohara), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Center (Drs Watanabe, Sugiyama, and Shinohara), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsutaka","family":"Mitachi","sequence":"additional","affiliation":[{"name":"Department of Surgery (Dr Mitachi), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuaki","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Center (Drs Watanabe, Sugiyama, and Shinohara), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatoshi","family":"Sawada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (Drs Okano, Midorikawa, Kushima, and Sawada), Ohta-Nishinouchi Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsunori","family":"Inagaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan (Dr Inagaki)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,9,1]]},"reference":[{"key":"bibr1-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-06820-5_3"},{"key":"bibr2-j.wem.2018.02.007","unstructured":"Heptner V., Nasimovitch A., Bannikov A. Sus (Sus) scrofa Linnaeus, 1758. Mammals of the Soviet Union: Artiodactyla and Perissodactyla (translation from the 1961 Moscow edition), Vol. 1. Washington, DC: Smithsonian Institution Libraries and National Science Foundation, 1988 19\u201382."},{"key":"bibr3-j.wem.2018.02.007","unstructured":"Mayer JJ. Wild pig attacks on humans. Proceedings of the 15th Wildlife Damage Management Conference; March 25\u201328, 2013; Clemson, SC."},{"key":"bibr4-j.wem.2018.02.007","author":"The Ministry of the Environment","year":"2010","journal-title":"The guideline for wildlife-specific management plan: wild boar [in Japanese]"},{"key":"bibr5-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1021\/acs.est.6b03011"},{"key":"bibr6-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1007\/978-4-431-55828-6_9"},{"key":"bibr7-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1093\/rpd\/ncw183"},{"key":"bibr8-j.wem.2018.02.007","author":"Fukushima Prefecture","year":"2015","journal-title":"The administrative plan of wild boar in Fukushima Prefecture [in Japanese]"},{"key":"bibr9-j.wem.2018.02.007","author":"Hyogo Prefecture","year":"2017","journal-title":"The administrative plan of wild boar in Hyogo prefecture: the Second Stage [in Japanese]"},{"key":"bibr10-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2017.06.004"},{"key":"bibr11-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcfm.2005.08.007"},{"key":"bibr12-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1580\/06-WEME-CR-033R1.1"},{"key":"bibr13-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2011.06.005"},{"key":"bibr14-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1177\/0025817214528431"},{"issue":"4","key":"bibr15-j.wem.2018.02.007","first-page":"1211","volume":"38","author":"Sprem N.","year":"2014","journal-title":"Coll Antropol."},{"key":"bibr16-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2013.03.018"},{"key":"bibr17-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1580\/08-WEME-LE-192.1"},{"key":"bibr18-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1080942"},{"key":"bibr19-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.05.006"},{"key":"bibr20-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1038\/srep20552"},{"key":"bibr21-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2013.9999"},{"key":"bibr22-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800029514"},{"key":"bibr23-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(71)90322-9"},{"key":"bibr24-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.03.002"},{"key":"bibr25-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1111\/ans.13908"},{"key":"bibr26-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000141"},{"key":"bibr27-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1053\/j.scrs.2004.10.004"},{"issue":"1","key":"bibr28-j.wem.2018.02.007","first-page":"47","volume":"100","author":"Pal D.K.","year":"2002","journal-title":"J Indian Med Assoc."},{"key":"bibr29-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-011-0163-9"},{"key":"bibr30-j.wem.2018.02.007","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31817e2ffc"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603218300504?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603218300504?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2018.02.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2018.02.007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2018.02.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T05:39:52Z","timestamp":1741671592000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2018.02.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1016\/j.wem.2018.02.007"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2018.02.007","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}