A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review.

Autor:	Chenna VSH; Medicine, University of Perpetual Help System Dalta, Las Pinas, Philippines., Palle LRA; Department of Surgery, Kamala Children's Hospital, Chennai, India., Emmanuel S; Surgery, National Hospital Abuja, Abuja, Nigeria., Gupta A; Internal Medicine, University of Jammu, Jammu, India., Francis DT; Department of Internal Medicine, Windsor University School of Medicine, Cayon, Saint Kitts and Nevis., Hussain A; Jinnah Sindh Medical University, Karachi, Pakistan., Dahal R; Department of Internal Medicine, Manipal College of Medical Sciences (MCOMS), Pokhara, Nepal., Carredo CKC; Cebu Institute of Medicine, Cebu, Philippines., Francis SM; Department of Internal Medicine, Windsor University School of Medicine, Cayon, Saint Kitts and Nevis., Garg T; Government Medical College and Hospital, Chandigarh, India., Akuma O; Ebonyi State University, Abakaliki, Nigeria., Khan AM; Department of Trauma Surgery, OSF St Francis Medical Center, Peoria, USA.
Jazyk:	angličtina
Zdroj:	Trauma case reports [Trauma Case Rep] 2023 Oct 19; Vol. 48, pp. 100962. Date of Electronic Publication: 2023 Oct 19 (Print Publication: 2023).
DOI:	10.1016/j.tcr.2023.100962
Abstrakt:	Perforating chest wall injuries involving the pericardial sac in pediatric patients are exceedingly rare and pose a unique clinical challenge. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. We present a case of an 8-year-old boy with an acute history of a sharp injection needle embedded in his chest wall presented with severe chest pain and diaphoresis. Diagnostic evaluations included computed tomography revealed a hyperdense focus with a metallic artefact seen impacted in the interventricular septa and perforating the heart. He underwent a thoracotomy and cardioplegic arrest for needle retrieval and subsequent cardiac repair. Our case underscores the importance of a multidisciplinary approach, meticulous monitoring, and a profound understanding of the unique anatomical considerations in pediatric chest injuries. Summary: This article presents a rare and challenging case of an 8-year-old male who arrived at the emergency department with a sharp injection needle embedded in his chest wall. Despite being relatively rare in children, thoracic injuries can be severe and potentially life-threatening. A fast and accurate diagnostic approach is crucial to prevent fatal complications. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. Timely diagnosis and appropriate interventions are critical in improving patient outcomes. The presented case highlights the need for caution and a well-planned approach in managing such rare and complex injuries in children. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 Published by Elsevier Ltd.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu