{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:02Z","timestamp":1756361402615,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","funder":[{"name":"Graham Dixon Charitable Trust"},{"name":"Imperial Private Healthcare"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,10,10]]},"abstract":"<jats:p>A 25-year-old man presented to a major trauma centre with multiple stab wounds, most significantly to the right buttock. Triple-phase CT revealed no acute bleeding and his wounds were closed. In the month following injury, he re-presented seven times to the emergency department (ED) complaining of bleeding and wound breakdown. After his seventh ED attendance, he was examined under general anaesthesia. Intraoperatively, profuse arterial bleeding was encountered and the local major haemorrhage protocol was activated. The on-call consultant vascular surgeon attended and definitive control was achieved. A large haematoma had acted to tamponade ongoing arterial bleeding and an underlying pseudoaneurysm: a finding not reported, but present, on the initial CT angiogram. Following 24\u2009hours in the intensive care unit, he was transferred to the surgical ward and discharged 4 days later. Regular review in the outpatient department over the following 9\u2009weeks monitored successful wound healing.<\/jats:p>","DOI":"10.1136\/bcr-2017-220425","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T08:46:33Z","timestamp":1508834793000},"page":"bcr-2017-220425","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Buttock wounds: beware what lies beneath"],"prefix":"10.1136","volume":"2017","author":[{"given":"Stephanie","family":"Clark","sequence":"first","affiliation":[{"name":"Academic Section of Vascular Surgery, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Westley","sequence":"additional","affiliation":[{"name":"Academic Section of Vascular Surgery, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3651-7533","authenticated-orcid":false,"given":"Alexander","family":"Coupland","sequence":"additional","affiliation":[{"name":"Academic Section of Vascular Surgery, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Hamady","sequence":"additional","affiliation":[{"name":"Surgery & Cancer, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alun H","family":"Davies","sequence":"additional","affiliation":[{"name":"Academic Section of Vascular Surgery, Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,24]]},"reference":[{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.1","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.crad.2017.02.009","article-title":"The spectrum of injuries in buttock stab wounds","volume":"72","author":"Campion","year":"2017","journal-title":"Clin Radiol"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/1749-7922-6-33","article-title":"Analytical review of 664 cases of penetrating buttock trauma","volume":"6","author":"Lunevicius","year":"2011","journal-title":"World J Emerg Surg"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.3","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199211000-00032"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.11.015"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.5","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1097\/00005373-198208000-00011","article-title":"Penetrating gluteal injuries","volume":"22","author":"Ivatury","year":"1982","journal-title":"J Trauma"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.6","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jsurg.2007.08.004","article-title":"The significance of penetrating gluteal injuries: an analysis of the Operation Iraqi Freedom experience","volume":"65","author":"Lesperance","year":"2008","journal-title":"J Surg Educ"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.7","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200104000-00018"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.8","first-page":"4","article-title":"Demographic features of patients with gluteal penetrating injuries presented in the adult emergency department","volume":"861","author":"Colak","year":"2014","journal-title":"Acta Medica Mediterr"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.9","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1177\/096721099600400632","article-title":"False aneurysm of the inferior gluteal artery following penetrating buttock trauma: case report and review of the literature","volume":"4","author":"Holland","year":"1996","journal-title":"Cardiovasc Surg"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.10","doi-asserted-by":"crossref","first-page":"e4","DOI":"10.5830\/CVJA-2012-045","article-title":"Giant pseudoaneurysm of the left axillary artery following a stab wound","volume":"23","author":"Fokou","year":"2012","journal-title":"Cardiovasc J Afr"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.03.058"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.12","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.178.3.1780736"},{"key":"2025082722431606000_2017.oct24_1.bcr-2017-220425.13","first-page":"342","article-title":"Images in emergency medicine. 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