Scroto-abdominal impalement injury in a skateboard rider

Carragher, Angela M.; Sulaiman, Shah Kalid; Panesar, K. J. S.

doi:10.1016/0736-4679(90)90168-u

Cited by 18 publications

(5 citation statements)

References 16 publications

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“…[9] Virtually, any region of the body may be subject to an impalement injury. [6,[9][10][11] Impalement injuries of the thoracic cavity are uncommon, but dramatic when they occur. [12] Thoracic impalement accidents on the right side are more frequently encountered because on the left side the presence of the heart makes survival exceptional, with few survivals cases reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…[16] Special attention must be paid to the injured region, and by all means the impalement object must not be mobilized or removed. [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16] All authors recognize the tamponade effect of the impaling object. Any dislodgement of the impaling object in the field may result in cataclysmic hemorrhage impossible to control.…”

Section: Discussionmentioning

confidence: 99%

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Severe thoracic impalement injury: survival in a case with delayed surgical definitive care

Luncă

Moroşanu

Alexa

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Impalement injuries are rare and among the most spectacular and dramatic traumatic lesions. The survival of a patient with a thoracic impalement injury is an extremely rare event. The objective of this study was to present the case of a 24-year-old male patient with a severe thoracic impalement injury successfully treated despite his late arrival in our hospital. A log in 12 cm diameter penetrated his right thorax producing injuries of the right main bronchus, right pulmonary lobe, right subclavian artery as well as extensive parietal lesions. Definitive surgical repair of these lesions was performed more than seven hours after trauma. The management principles contributing to the successful outcome that we would like to emphasize are: rapid transportation and reaction of the trauma team, minimal manipulation of the impaling object, removal of the log as one piece under direct vision in the operating room, ventilatory support, extensive debridement, and lavage associated with appropriate antibiotherapy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Severe thoracic impalement injury: survival in a case with delayed surgical definitive care

Luncă

Moroşanu

Alexa

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…The diagnostic gold standard in urethral injury is dynamic retrograde urethrography [3]. In summary, impalement injury of the urogenital tract can lead to multi-organ injuries which commonly involve the urethra, urinary bladder, rectum or kidney [4]. In our case, none of those life-threatening injuries occurred.…”

Section: Discussionmentioning

confidence: 77%

Impalement – The Walking Stick Pointing at A Kidney Tumor: A Case Study

Leboutte¹,

Seifert²,

Clément³

et al. 2019

Arch Clin Med Case Rep

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“…35 Accidental impalements may also occur in cases of autoerotic activity, such as the case of a male who died following a fall onto a chair leg that he had inserted into his anus. 19 Injuries from inserted rectal foreign bodies may range from lethal lacerations of the rectum due to a shoe horn, 36 to survivable lacerations of the mesentery, stomach, diaphragm and pericardium from a broom handle. 37 Transvaginal impalements may occur during consensual sexual activity and result not only in injuries to the vagina with significant haemorrhage, but also to the rectum, bladder, mesentery and omentum.…”

Section: Discussionmentioning

confidence: 99%

A forensic evaluation of impalement injuries

Byard

2018

Med Sci Law

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Impalement injuries transfix a victim in an inescapable or helpless position. A study was undertaken at Forensic Science SA from 2002 to 2016 of all impalement deaths. There were six vehicle accidents (M:F=5:1; age 14-67 years, average age 38.5 years) involving impalements with a tree branch ( n=2; groin and chest), a metal pipe ( n=2; leg and head), a metal bridge railing (groin) and a metal fence post (chest). Two cases (both males, aged 47 and 18 years) had slipped on fences/gates, with impalements of the ankle and groin. A case of suicide (male, aged 80 years) was impaled through the head on a bolt fixed to the floor. A homicide case (male, aged 27 years) involved impalement through the chest by a spear from a spear gun. In certain cases (e.g. with anogenital injuries), differentiating accidental from inflicted impalement injuries may be difficult. In equivocal cases, adequate scene evaluations with photographic documentation are required prior to autopsy, ideally with the object available for examination.

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Scroto-abdominal impalement injury in a skateboard rider

Cited by 18 publications

References 16 publications

Severe thoracic impalement injury: survival in a case with delayed surgical definitive care

Severe thoracic impalement injury: survival in a case with delayed surgical definitive care

Impalement – The Walking Stick Pointing at A Kidney Tumor: A Case Study

A forensic evaluation of impalement injuries

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