{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T12:45:08Z","timestamp":1792413908908,"version":"4.4.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bull horn injuries produce complex shearing and penetrating forces capable of causing occult abdominal wall disruption with visceral herniation. We report a rare case of bowel evisceration through the thigh following bull horn injury associated with pelvic fractures and traumatic inguino-femoral disruption. A 55-year-old female presented to the emergency with bowel loops protruding through a lacerated wound over the anterolateral aspect of the right thigh following a bull horn injury. Contrast-enhanced computed tomography of the abdomen and pelvis revealed herniation of ileal loops with mesentery through a large right lower abdominal wall defect with possible femoral canal involvement. Exploratory laparotomy revealed mesenteric tears and traumatic disruption of the inguinal region allowing bowel migration into the thigh. Reduction of bowel loops, repair of mesentery, peritoneal lavage and inguinal ligament repair were performed successfully. This case highlights the importance of suspecting occult abdominal wall and inguino-femoral disruption in atypical bowel evisceration patterns following animal-inflicted trauma.<\/jats:p>","DOI":"10.1093\/jscr\/rjag901","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T17:59:41Z","timestamp":1792346381000},"source":"Crossref","is-referenced-by-count":0,"title":["Traumatic transfemoral bowel evisceration following bull horn injury: a case report and review of literature"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1826-9043","authenticated-orcid":false,"given":"Venkata Avinash Kumar","family":"Vegi","sequence":"first","affiliation":[{"name":"Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University , Aligarh202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meraj","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University , Aligarh202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afzal","family":"Anees","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University , Aligarh202002, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"2026101908125379400_ref1","doi-asserted-by":"publisher","first-page":"118","DOI":"10.18311\/mvpjms\/2018\/v5\/i1\/2169","article-title":"Evisceration of small intestine through thigh due to bull gore injury- a rare case","volume":"5","author":"Borse","year":"2018","journal-title":"MVP J Med Sci"},{"key":"2026101908125379400_ref2","volume-title":"Topics in Trauma Surgery IntechOpen eBooks","author":"S\u00f6zen","year":"2022"},{"key":"2026101908125379400_ref3","doi-asserted-by":"publisher","first-page":"16006","DOI":"10.1038\/s41598-021-94524-7","article-title":"Eight-year analysis of bullfighting injuries in Spain, Portugal and Southern France","volume":"11","author":"Reguera-Teba","year":"2021","journal-title":"Sci Rep"},{"key":"2026101908125379400_ref4","doi-asserted-by":"publisher","first-page":"233","DOI":"10.9738\/INTSURG-D-13-00239.1","article-title":"What we know about management of traumatic abdominal wall hernia: review of the literature and case report","volume":"100","author":"Jahromi","year":"2015","journal-title":"Int Surg"},{"key":"2026101908125379400_ref5","article-title":"Bowel rupture in patients with pelvic fractures: a systematic review of diagnostic challenges, surgical management, and multidisciplinary trauma care","volume":"4","author":"Kumar","year":"2026","journal-title":"J Health Wellness Commun Res"},{"key":"2026101908125379400_ref6","doi-asserted-by":"publisher","first-page":"406","DOI":"10.3348\/kjr.2022.0998","article-title":"Radiologic imaging of traumatic bowel and mesenteric injuries: a comprehensive up-to-date review","volume":"24","author":"Kaewlai","year":"2023","journal-title":"Korean J Radiol"},{"key":"2026101908125379400_ref7","doi-asserted-by":"publisher","first-page":"552","DOI":"10.3349\/ymj.2004.45.3.552","article-title":"Traumatic abdominal wall hernia","volume":"45","author":"Singh","year":"2004","journal-title":"Yonsei Med J"},{"key":"2026101908125379400_ref8","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1016\/j.amjsurg.2020.11.031","article-title":"Bull horn injuries. A 40-year retrospective study with 572 patients","volume":"222","author":"Hern\u00e1ndez","year":"2020","journal-title":"Am J Surg"},{"key":"2026101908125379400_ref9","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1097\/01.ta.0000196871.19566.92","article-title":"Biomechanic study of the human liver during a frontal deceleration","volume":"61","author":"Cheynel","year":"2006","journal-title":"J Trauma: Injury Infect Crit Care"},{"key":"2026101908125379400_ref10","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1080\/10599240903042024","article-title":"Bull-related incidents: their prevalence and nature","volume":"14","author":"Sheldon","year":"2009","journal-title":"J Agromedicine"},{"key":"2026101908125379400_ref11","doi-asserted-by":"publisher","first-page":"354","DOI":"10.4103\/singaporemedj.SMJ-2022-023","article-title":"Bowel and mesenteric injuries in blunt abdominal injury","volume":"65","author":"Wong","year":"2024","journal-title":"Singapore Med J"},{"key":"2026101908125379400_ref12","doi-asserted-by":"crossref","DOI":"10.1186\/s13017-021-00387-8","article-title":"WSES\/GAIS\/SIS-E\/WSIS\/AAST global clinical pathways for patients with intra-abdominal infections","volume":"16","author":"Sartelli","year":"2021","journal-title":"World J Emergency Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag901\/72077481\/rjag901.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag901\/72077481\/rjag901.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T12:12:57Z","timestamp":1792411977000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag901\/8935395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag901","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,10]]},"article-number":"rjag901"}}