A Successfully Treated Case of Thoracic Penetrating Injury Caused by a Kitchen Knife Based on Preoperative Computed Tomography
| Autor: | Nobuo Yagihashi, Tadaharu Osawa, Hiroyuki Itoh, Osamu Harada, Takehiro Sakai |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Rib cage medicine.diagnostic_test business.industry medicine.medical_treatment education Right thorax Computed tomography musculoskeletal system Right lower lobe Surgery Hemodynamically stable surgical procedures operative Great vessels medicine population characteristics sense organs Radiology Thoracotomy business Eighth rib |
| Zdroj: | Nihon Kyukyu Igakukai Zasshi. 17:53-56 |
| ISSN: | 1883-3772 0915-924X |
| DOI: | 10.3893/jjaam.17.53 |
| Popis: | We report a successfully treated case of thoracic penetrating injury caused by a kitchen knife. A 52-year-old woman, stabbed in the right thorax by a kitchen knife was transported into our hospital. The kitchen knife was deeply lodged in the right thorax, and the sound of air leaking was heard at the entrance of the wound. However, the patient was hemodynamically stable. Emergency computed tomography (CT) revealed that the kitchen knife had entered the right thorax across the rib and right lung and was lodged near the vertebrae without causing any cardiovascular injury. The patient was immediately transferred to the operating room. On thoracotomy, the knife was found to have penetrated the tenth ribs and right lower lobe, and it had reached the eighth rib. Right lower lobectomy with removal of the kitchen knife was then conducted. The postoperative course was uneventful. Thus, CT was useful to evaluate the presence of injuries in heart and great vessels and to start operation promptly in our present case. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|