Penetrating Sacral Injury with a Wooden Foreign Body

Fattahi, Arash; Jahanbakhshi, Amin; Shahivand, Ardeshir; Dastmalchi, Alireza

doi:10.1155/2018/1630864

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…Sacral penetrating injuries and impalements have been previously described, but hemorrhagic shock has never been reported as a presenting feature. [1][2][3] It is quite possible that the presence of the impaled object might have tamponaded the hemorrhage in some of these cases, which was not the case in our patient. Hemorrhage is often ascribed to transabdominal trajectories or abdominopelvic vascular injuries in such injuries.…”

Section: Discussionmentioning

confidence: 62%

“…Penetrating injuries to the sacrum are rare, with neurological deficit or cerebrospinal fluid (CSF) leaks as the predominant presenting complaints. [1][2][3] We report a case of coccygeal fracture dislocation due to a glass injury, presenting with exsanguinating hemorrhage, without any associated abdominal/vascular injury. The presentation is unique, and successful management of the patient is discussed with the emphasis on basic but lifesaving interventions in such injuries.…”

Section: Introductionmentioning

confidence: 99%

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Exsanguinating hemorrhage from coccygeal fracture dislocation: First report of a life-threatening injury

Jagne

Kataria

Sarkar

et al. 2021

Trauma

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Background: Penetrating injuries to sacrum are rare; only a few reports have been published in literature. We hereby report the first case of low velocity penetrating trauma leading to coccygeal fracture dislocation and exsanguination, without any major abdominal/vascular injury. Case Report: The patient underwent wound packing bedside and hemostatic resuscitation. Wound packing was successful in achieving hemostasis. He stabilized after 1.5 L of fluids, massive hemorrhage protocol institution (12-unit blood components), and vasopressor support. The presentation is unique and not reported in literature published so far. Conclusion: This report is a pertinent example of lifesaving potential of effective wound packing, which is often under-utilized. Possibility of associated neurological injury and residual foreign bodies is there in such cases. They should be duly assessed after stabilizing life-threatening injuries.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Exsanguinating hemorrhage from coccygeal fracture dislocation: First report of a life-threatening injury

Jagne

Kataria

Sarkar

et al. 2021

Trauma

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“…Few examples of WFB penetration to groin or trunk due to fall from height in literature includes- thigh area, entry from gluteal area through foramen ischiadum to the rectal space, and entry from sacrum up to S1 vertebral body via dural space. [ 7 8 ]…”

Section: Discussionmentioning

confidence: 99%

Retained wooden foreign body in groin in a child: A case report and review of literature

Yhoshu¹,

Chaudhary²,

Gupta³

2020

Afr J Paediatr Surg

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Wooden foreign body (WFB) injuries in children are common. They may report with acute presentation or be delayed as retained foreign body giving rise to complications. Cases with superficial skin penetration by these foreign bodies and acute presentation may be convenient to diagnose and remove. However, localising deeply impacted and chronically retained WFB is challenging, as they are usually not radiopaque and have a tendency to move deeper into the surrounding soft tissues with time. Foreign body retained for prolonged duration may present with either cellulitis, deep tissue infections, sinus, restriction of joint movements, necrotising fasciitis, osteomyelitis or tumour-like mass. We present an 8-year-old boy with discharging sinuses in the right iliac fossa and medial aspect of the right upper thigh, due to an impacted WFB for 3 months. Prompt radiological imaging and surgical removal helped him recover completely.

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“…Spinal cord injuries could be catastrophic because they may result in severe neurovascular complications, such as myelopathy, radiculopathy, and central nervous system infection. [1] In literature review, the existing reports of nail-gun injury which has confirmed trauma history. [2–9] The physician may miss the diagnosis of trauma-related injury if the patient did not describe a clear history of trauma event.…”

Section: Introductionmentioning

confidence: 99%

Foreign body in the thoracic spine due to a nail gun penetrating injury

et al. 2018

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Rationale:Spinal cord injuries could be catastrophic because they may result in severe neurovascular complications. Here, we present a case of thoracic spine-penetrating injury by a nail-gun.Patient concerns:A 60-year-old male presented to our emergency department with complaints of progressive right chest pain for 1 week that was preceded by back pain. He had a medical history of hypertension and denied any trauma history. He had alert consciousness and stable vital signs. He was a carpenter. Upon physical and neurological examination, no obvious wounds or vesicle formation were noted, and the patient was neurologically intact.Diagnosis:Laboratory test results showed abnormally elevated D-dimer levels. Electrocardiography showed normal sinus rhythm. Chest radiography showed no mediastinal widening. Chest computed tomography was performed. The formal radiology report indicated a foreign body in the T4-5 spinal cord and upper back.Interventions:A neurosurgeon was consulted with suggestion of operation. We performed T4-5 laminectomy and foreign body removal. The foreign body, stuck to the spinal cord with dural rupture, was removed and found to be a 5 cm-long broken nail.Outcomes:The pain resolved immediately post operation.Lessons:Surgical removal of the foreign body is recommended if neurovascular complications or cerebrospinal fluid (CSF) leak is detected. Obtaining the patient's complete history, including occupation, might be helpful in determining the diagnosis. Careful interpretation of diagnostic imaging is necessary for avoiding medical disputes. Even in the absence of wounds and ecchymosis, trauma-related injury should be considered.

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Penetrating Sacral Injury with a Wooden Foreign Body

Cited by 6 publications

References 5 publications

Exsanguinating hemorrhage from coccygeal fracture dislocation: First report of a life-threatening injury

Exsanguinating hemorrhage from coccygeal fracture dislocation: First report of a life-threatening injury

Retained wooden foreign body in groin in a child: A case report and review of literature

Foreign body in the thoracic spine due to a nail gun penetrating injury

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