Rectal impalement injury through the pelvis, abdomen and thorax
| Autor: | Emad H Aly, H El Shafei, B Al Kari, LC Ho, J Barr |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Thorax medicine.medical_specialty Penetrating chest-abdomen-pelvis injury Thoracic Injuries Poison control Rectum Wounds Penetrating Abdominal Injuries Violence Pelvis Injury prevention medicine Humans Mesentery Surgical team business.industry General Medicine Foreign Bodies Surgery medicine.anatomical_structure Online Case Report Rectal impalement injury Abdomen Tomography X-Ray Computed business |
| Zdroj: | Annals of The Royal College of Surgeons of England University of Aberdeen-PURE |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/003588412x13373405385016 |
| Popis: | Impalement rectal injuries with intraperitoneal organ injuries are rare. It is even rarer for such injuries to result in pelvic, abdominal and thoracic internal injuries. We present the case of a 39-year-old man who was admitted after an assault where a broken broomstick was inserted forcibly into his rectum. Surgery revealed penetration through the rectum, dome of the bladder, mesentery, liver and right lung. The patient survived following management by a multispecialty surgical team. Our literature review identified four similar cases with one fatality only. Prognosis seems to be good in these types of injuries provided there is an early presentation, the penetrating object is left in situ before the operation and, most importantly, there is an organised team approach to deal with the various injuries. |
| Databáze: | OpenAIRE |
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