Transabdominal Impalement: Absence of Visceral or Vascular Injury a Rare Possibility

Mohan, Rajashekar; Ram, Datta U.; Baba, Yellika Suresh; Shetty, Anil; Bhandary, Satheesh Kumar

doi:10.1016/j.jemermed.2008.03.033

Cited by 16 publications

(28 citation statements)

References 17 publications

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“…Penetrating abdominal Injuries are known to have high morbidity and mortality rates. Also, these injuries pose a challenge to hospitals, surgeons and critical care team for preoperative and post-operative management (3). Most of the mortality can occur within the first 24 hours (4).…”

Section: Discussionmentioning

confidence: 99%

Penetrating trans-abdominal bamboo stick injury: An unusual case report

Bansal

Bhanukiran

Chaudhary

et al. 2021

J Emerg Pract Trauma

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Objective: Penetrating abdominal trauma secondary to bamboo stick injury is a rare entity in the developed world. Most of such kind of trans abdominal penetrating bamboo stick injury is associated with multiple solid and hollow viscus injuries. In developing countries like India, where nearly 70% of the population reside in rural areas, it is not that uncommon. Aim of this report is to recognition of risk factors and explain optimum surgical management in trans-abdominal bamboo stick injury. Case Presentation: Here we describe a case of penetrating trans abdominal bamboo stick injury resulting due to fall over a branch of bamboo stick with multiorgan damage, which was successfully managed by early surgical exploration in our institute. Conclusion: There are many factors which can prognosticate the penetrating trauma cases. The most important factors include a long interval between injury and surgical exploration, presence or absence of shock, and other associated organ injuries at the time of admission. Early recognition of the severity of injury with surgical management is utmost necessary. These patients have high morbidity and mortality rates due to multiorgan damage and post-operative infection.

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Section: Discussionmentioning

confidence: 99%

Penetrating trans-abdominal bamboo stick injury: An unusual case report

Bansal

Bhanukiran

Chaudhary

et al. 2021

J Emerg Pract Trauma

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“…To avoid postoperative infections both the entry and the exit wound should be left open to heal by second intention, while the wound should be carefully debrided daily. Broad spectrum antibiotics and tetanus vaccination should be administered [3] , [7] , [8] . The duration of the antibiotic prophylaxis could be questionable.…”

Section: Discussionmentioning

confidence: 99%

“…Finally another aspect that should be taken seriously into account is the psychological status of patients that survive these kinds of injuries. They are often diagnosed with post-traumatic stress and need psychological assistance [7] .…”

Section: Discussionmentioning

confidence: 99%

A rare case of a transabdominal impalement after a fall from a ladder

Angelopoulos

Mantzoros

Kyziridis

et al. 2016

International Journal of Surgery Case Reports

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HighlightsThe stick penetrated the patient at his left lumbar region, while its tip was palpable on his right abdomen.A computed tomography was performed due to the stable condition of the patient.When patient is unstable an emergency exploratory laparotomy should be performed.Drains were left until the 6th postoperative day due to increased levels of amylase.Antibiotic administration was discontinued on the 7th postoperative day because of the presence of gut perforation.

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“…This injury is typically accidental but few are homicidal [1] . Management of Impalement injury poses a major challenge [2] . It is widely agreed that the impaling object should be left in situ until the initiation of management at a tertiary trauma center [3] .…”

Section: Introductionmentioning

confidence: 99%

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

Alani

Mahmood

El‐Menyar

et al. 2017

International Journal of Surgery Case Reports

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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.

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Transabdominal Impalement: Absence of Visceral or Vascular Injury a Rare Possibility

Cited by 16 publications

References 17 publications

Penetrating trans-abdominal bamboo stick injury: An unusual case report

Penetrating trans-abdominal bamboo stick injury: An unusual case report

A rare case of a transabdominal impalement after a fall from a ladder

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

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