Highlight :A 26-year-old woman have sterile aerobic and anaerobic bacterial cultures.Pus and splenic tissue examination revealed no bacterial proliferation, while the surgery revealed a splenic abscess.Abstract:We presented a rare case, a 26-year-old woman have sterile aerobic and anaerobic bacterial cultures. Clinical examination of the patient showed a dense cystic mass in the left upper abdomen. Ultrasonography examination suspected a dermoid cyst. However, MRI examination of the abdomen showed turbid cystic lesions. The surgery revealed a splenic abscess, while pus and splenic tissue examination revealed no bacterial proliferation. Based on the literature, the patient had a good prognosis.
Background: A penetrating injury is due to the mechanical force which is piercing in nature and caused by sharp-pointed objects. Penetrating trauma from the inguinal region to the thoracic region is a case with high morbidity and mortality when not sufficient early surgical assessment and good management. The penetrating injury needs early medical assessment and proper management, and this can be done in type B hospital.Case Description: Twenty-two years old male came to the emergency department in Jombang Public Hospital District after fell from 4 meters height in a construction project. We found 12 mm metallic foreign body has stabbed from right groin projected to left anterior axillary line ICS 4, and patient hemodynamically was stable without any signs of peritonitis. External genital examination showed bloody urethral discharge. We performed chest X-Ray, FAST sonography, prone and lateral KUB X-Ray, urethrographic and emergency exploratory laparotomy for foreign body extraction.Conclusion: Penetrating injury management involved supportive and surgical management toward damaged organs and extracted foreign body. The recommendation of penetrating injury is to keep the foreign body not to be manipulated since the foreign body can create a tamponade effect that can prevent massive bleeding.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.