Management of an abdominal penetration injury due to a car accident

Dörr, Niels Michael; Wiesner, Ingo; Kleeff, Jörg

doi:10.1016/j.tcr.2022.100646

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2022

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“…After the patient in this article was admitted to the hospital, we perfected the necessary examinations for him, we immediately organized a hospital-wide MDT expert discussion, and made a clinical decision in a short period of time. However, in critically penetrating patients with the “fatal triad” of hypothermia (<34 °C), acidosis (pH < 7.2), and coagulopathy, clinical emergency measures such as rapid rehydration, debridement, hemostasis, intra-abdominal packing, and avoiding further contamination and spread should be performed as soon as possible, and the above-mentioned emergency treatment measures should be urgent ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

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

Liu

Xu²,

Zhu³

et al. 2022

Front. Surg.

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Fall from height causing penetrating abdominal visceral injuries is rare condition leading to abdominal multiorgan damage. It carries high mortality. A case of construction site worker sustaining penetrating visceral injuries by falling from height leading to impalement of steal bar from anus presented to our hospital and managed by timely evacuation from site of accident to hospital, resuscitations, radiological investigations and multi-Disciplinary team management lead to successful outcome. Our protocol for such cases will be discussed with references.

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Section: Discussionmentioning

confidence: 99%