Thoraco-abdominal impalement injury with two construction ironbars – A rare case report

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

“…These injuries are difficult to manage due to their severity and concomitant hemodynamic instability, requiring multi-disciplinary care in a tertiary referral facility [6] , [12] , [13] . Due to the likelihood of serious organ and vascular damage impairing the normal physiology of breathing and circulation, adequate resuscitation and continuous monitoring are essential pre- and intra-optatively [9] , [14] . However, the patient's condition limited us to transfer them to a tertiary referral center, and a general surgeon performed all management.…”

“…The surgical approach should permit adequate exposure into the involved structures to allow vascular control and comprehensive anatomical identification along the route of the invading item and facilitate the removal, debridement, and reconstruction under direct visualization. Consequently, non-standard or non-conventional incisions may be necessary [14] .…”

Rare penetrating abdominal injury caused by falling from height: Miraculously good prognosis

“…Construction workers often suffer from penetrating injuries due to falling, mechanical collapse or other means originated from special working environment and lack of adequate protective equipment ( 2 , 3 ). Penetrating injuries can be classified into two major categories, one is the body injury caused by the body striking a stationary object, and the other is the penetrating injury caused by the moving object penetrating the stationary body ( 4 ).…”

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

“…Impalement injuries happen when an object penetrates a body cavity or organ and remains in situ [ 1 , 2 ]. These are among the most severe types of penetrating injuries and frequently result in significant morbidity and mortality due to vascular and visceral damage [ 1 , 3 ]. Management of impaled objects is debatable because they present unique difficulties with pre-hospital treatment, transportation, and the use of suitable surgical techniques in the operating room [ 1 ].…”