Multiple impalement injuries of the torso with two metal bars: A case report
| Autor: | Mohamad Nour Badi, Mhd Belal Alsabek, Mohamed Khatab |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Thorax
medicine.medical_specialty Exploratory laparotomy medicine.medical_treatment Impalement injuries Case Report Chest trauma 03 medical and health sciences 0302 clinical medicine medicine Stab wound business.industry General surgery General Medicine Torso medicine.disease Thoracostomy medicine.anatomical_structure Abdominal trauma 030220 oncology & carcinogenesis Abdomen 030211 gastroenterology & hepatology Surgery business Penetrating trauma |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Introduction and importance Impalement injury is a type of penetrating trauma that is rarely mentioned and studied in the medical literature. Patients who could show up at the emergency room are those who got an isolated stab wound in their extremities. The torso injuries are usually fatal in the scene of the accident. We report two metal bars that impaled in the pelvic, back, abdomen and thorax of the patient who was admitted in OR directly. Case presentation A 20 year-old construction worker fell down on two metal bars. At the scene; we cut the metallic bars off the column and then we transported the patient keeping the foreign bodys in situ. Right sided tube thoracostomy was done, and then the patient had an exploratory laparotomy detecting vital organs that had be injured before taking out the 2 bars. The technique steps focused mainly on checking heart, lung, liver, kidney, main vessels and spinal cord; respectively. Clinical discussion Third world countries should provide a safety environment for construction workers. Surgeons should be able to make a decision to operate the patient immediately without time wasting by unnecessary investigation. This investigation could be useful later intra-operatively. Conclusion The safety of workers should be strongly recommended in non-developed countries and it plays a main role in the rescuing. More case series are needed to share and improve the medical practice in dealing with this rare but fatal situation. Highlight • Multiple impalement injuries are more common and fatal in non-developed countries. • Intra-operative X-rays is more safety and time saving than the pre-operative one. • Exploring the whole entire abdomen before trying to pull any metal bar. • Surgeons detect the priority of which vital organs should be firstly checked and treated. • Surgeons detect the priority of which bar should be firstly pulled. |
| Databáze: | OpenAIRE |
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