Thoraco-abdominal impalement injury with an iron rod: A case report

Dajenah, Menawar; Ahmed, Faisal; Thabet, Anessa; Ghaleb, Khaled; Badheeb, Mohamed; Dajenah, Zaid

doi:10.1016/j.ijscr.2023.107930

Cited by 3 publications

(2 citation statements)

References 16 publications

(34 reference statements)

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“…The severity of penetrative chest injury injuries relies on the extent of blood loss and the accompanying organ damage, which can range from minor to life-threatening injuries [ 18 ]. Treatment priorities are determined first by life-threatening injuries, followed by those that are most likely to worsen.…”

Section: Discussionmentioning

confidence: 99%

Surgical removal of an impaled unexploded mortar shell into the chest: Case review from a war-zone

Mothanna,

Badheeb,

Ahmed

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Surgical removal of an impaled unexploded mortar shell into the chest: Case review from a war-zone

Mothanna,

Badheeb,

Ahmed

et al. 2024

International Journal of Surgery Case Reports

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“…We presented a unique case involving an antique African iron barber spear impaled in the liver and the challenges in managing it. The medical literature only reports a few cases [ 2 , 4 ] none of which were caused by this specific tool.…”

Section: Introductionmentioning

confidence: 99%

Liver impalement with an antique African iron barbed spear. A case report

Cervantes,

Gavor,

Jiagge

et al. 2024

Journal of Surgical Case Reports

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Impalement injuries happen when an object penetrates a body cavity or organ and remains in situ. We present a case of a 35-year-old fisherman whose act of violence resulted in the lodging of an antique iron spear in segment V of the liver, which was then referred to our institution on the day after the accident. Despite the challenges posed by patient transfer, diagnosis, resuscitation, and, most importantly, handling in the operating room, the object was successfully removed via hepatotomy, and the patient is now in good health. Impalement by an ancient African iron spear, repurposed as a fishing tool in modern times, remains undocumented in the literature, necessitating reporting and a call for further research by the medical community into managing impalement injuries of varying severity.

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Right thoracoabdominal stab injury penetrating with injury of the internal thoracic artery: case report and lessons in penetrating knife wounds to the chest and abdomen

Pronin,

Matvieienko

2023

The Journal of v. N. Karazin Kharkiv National University, Series "Medicine"

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Abstract. Thoraco-abdominal and transmediastinal injuries are the most challenging injuries faced by surgeons. Aim. To acquaint medical practitioners with a clinical case of diagnosis and treatment of a rare variant of damage to the right internal thoracic artery in a thoraco-abdominal injury. Materials and methods. We present a clinical case of a rare variant of damage to the right internal thoracic artery in a thoraco-abdominal injury, which was complicated by a massive hemothorax, shock and DIC syndrome. Results. The work presents data on the examination and treatment of a patient with a thoraco-abdominal stab wound. A preliminary diagnosis was established: thoraco-abdominal stab wound on the right, hemorrhagic shock. The diagnosis was established based on the patient's complaints, medical history, physical examination data, available at the time of the examination, the results of laboratory and instrumental research methods. Damage to the liver, diaphragm, and internal thoracic artery was established intraoperatively. Clinical interest is not only the rarity of this injury - injury of the internal thoracic artery, but also the therapeutic and diagnostic tactics. Conclusions. We consider this case interesting and instructive. Each wound should be evaluated from the point of view of possible injury of large vessels, in the projection of which location it is localized. The primary surgical treatment of the wound should be carried out under the strict control of an experienced surgeon, especially if the wound is located in the projection of a large vessel. The integrity of the vessel and the absence of bleeding must be confirmed! Intraoperatively, any finding should be taken into account, correlated with possible injuries, and interpreted clinically (provide a logical explanation that satisfies the clinical situation). The decision regarding treatment tactics should be made by the operating surgeon (or a board of surgeons), immediately based on the clinical situation. The surgeon must be reactive and flexible, and have the ability to quickly change the approach according to the findings.

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Thoraco-abdominal impalement injury with an iron rod: A case report

Cited by 3 publications

References 16 publications

Surgical removal of an impaled unexploded mortar shell into the chest: Case review from a war-zone

Surgical removal of an impaled unexploded mortar shell into the chest: Case review from a war-zone

Liver impalement with an antique African iron barbed spear. A case report

Right thoracoabdominal stab injury penetrating with injury of the internal thoracic artery: case report and lessons in penetrating knife wounds to the chest and abdomen

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