An unusual case of transpelvic impalement injury: A case-report

Abstract

HighlightsTranspelvic impalement injury is a rare serious mechanical injury.The impaling object should be left in situ until the initiation of management at tertiary trauma center.Careful planning for removal of impaling object is crucial to minimize blood loss and preserve the involved organ function.Time is important when evaluating and resuscitating such patients.Treatment needs a multidisciplinary team with coordinated approach and early imaging studies.

Pediatric Forearm Impalement Injury: A Case Report with Review of Literature

“…Early administration of broad-spectrum antibiotics covering both aerobic and anaerobic organisms as soon as possible preferably in the emergency room is of utmost importance [ 1 , 2 , 5 , 11 ].…”

“…Most of the impalement injuries are field injuries with a metallic rod, most commonly iron rods, along with further contamination with soil, hence routine tetanus prophylaxis according guidelines and patient’s immunization status [ 12 ]. Regular follow is required to detect any early or delayed infections [ 2 , 8 , 11 ], and patients should also be made aware of delayed infections in cases of gross contamination. In the case presented above, the operative wound healed without any post-operative complications and was asymptomatic till his 6-month follow-up.…”