Rectal impalement by pirate ship: A case report

Bemelman, Mike; Hammacher, E.R.

doi:10.1016/j.injury.2005.04.016

Cited by 2 publications

(4 citation statements)

References 17 publications

(23 reference statements)

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“…The history of impalement can date back to the Middle Ages, when impalement was used as a punishment against criminals, slaves, political or racial heretics, as a revenge to personal enemies, which caused by different methods such as using long thin sharp poles, bars or ragged objects through different parts of body even through anus. 5 These injuries were common in wars and proved to be fatal, but they are not common these days. Nowadays, these injuries present as a result of falling from height on sharp objects, penetrating low/high velocity object wounds, sexual abuse and torture.…”

Section: Discussionmentioning

confidence: 99%

“…Nowadays, these injuries present as a result of falling from height on sharp objects, penetrating low/high velocity object wounds, sexual abuse and torture. 5 Impalement injuries are associated with multiple mechanism like crushing, penetration, tissue loss, wound contamination, major fractures, massive blood loss, which brought great challenge to surgeons. 6 patients of impalement injuries either die on the spot or they reach hospital with stable vitals.…”

Section: Discussionmentioning

confidence: 99%

“…These injuries were common in wars and proved to be fatal, but they are not common these days. Nowadays, these injuries present as a result of falling from height on sharp objects, penetrating low/high velocity object wounds, sexual abuse and torture 5 . Impalement injuries are associated with multiple mechanism like crushing, penetration, tissue loss, wound contamination, major fractures, massive blood loss, which brought great challenge to surgeons 6 .…”

Section: Discussionmentioning

confidence: 99%

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Thoracic impalement injury: A survivor with large metallic object in-situ

Afzal

Armughan

Javed

et al. 2018

Chinese Journal of Traumatology

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Impalement injuries, is a severe form of trauma, which are not common in civilian life. These injuries rarely occurs in major accidents. Abdomen, chest, limbs and perineum are often involved due to their large surface area. Thoracic impalement injury is usually a fatal injury, due to location of major vessels and heart in the thoracic cavity. These injuries are horrifying to site, but the patients who are lucky enough to make it to hospital, usually survive. Chances of survival are larger in right sided impalement injuries while central injuries are always died at the scene.Our patient, 25 years old male, was brought to the emergency room (ER) with large impaled metallic bar (about 2.5 feet long) in situ, in right sided chest. The patient was immediately shifted to operation room (OR) and was operated, his recovery was uneventful without any sequelae.Such patients should be treated and resuscitated according to advanced trauma life support (ATLS) protocols and operated without any delay for further investigations. Such operations are carried out by the most experienced surgeon team available. The impaled objects should not be processed if not necessary to avoid major hemorrhage and damage to vital structures, until the patient is in operation room. Large size and unusual position of impaled objects, makes the job difficult for surgeons/anesthetists.Although horrifying at scene, patients with thoracic impalement injuries are mostly young and healthy, and those who survive the pre-hospital phase are potentially manageable with proper resuscitation. Usually these patients make recovery without any further complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Thoracic impalement injury: A survivor with large metallic object in-situ

Afzal

Armughan

Javed

et al. 2018

Chinese Journal of Traumatology

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“…La grave naturaleza de tales incidentes se demuestra en series de casos reportadas con unas tasas de mortalidad del 20-50% 3 . Estas estadísticas generalmente se asocian con complicaciones de lesiones por caída, contaminación de heridas y lesiones en órganos profundos, lo que culmina en hemorragia, disfunción orgánica e infección 2,4 . Por ello, cualquiera que sea la causa del empalamiento, el diagnóstico preciso de las lesiones asociadas no es fácil y la ausencia de una herida externa superficial del margen anal no refleja la verdadera gravedad del daño 1 .…”

Section: Introductionunclassified

Perforación de colon secundaria a empalamiento autoinfligido: a propósito de un caso

Lozada-Martínez¹,

Periñan-Pérez²,

Núñez-Rojas³

et al. 2020

CIRU

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El empalamiento es una causa grave y rara de lesión anorrectal, pudiendo darse en multitud de contextos, ya sea de índole accidental, psiquiátrica o por prácticas sexuales o criminales. El objetivo de este manuscrito es mostrar al autoempalamiento como agente causante de lesión anorrectal, de presentación extraordinaria. Se presenta un caso de empalamiento autoinfligido con perforación intestinal en un hombre de 44 años, que acudió al servicio de urgencias sin el objeto causante de la lesión y con un cuadro de abdomen agudo, debido a hemoperitoneo, peritonitis fecal y perforación en la unión rectosigmoidea.

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Rectal impalement by pirate ship: A case report

Cited by 2 publications

References 17 publications

Thoracic impalement injury: A survivor with large metallic object in-situ

Thoracic impalement injury: A survivor with large metallic object in-situ

Perforación de colon secundaria a empalamiento autoinfligido: a propósito de un caso

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