Mohan Rajashekar, Ram Datta U, Baba Yellika Suresh, Shetty Anil, Bhandary Shubhakar
Department of Surgery, K.S. Hegde Medical Academy, Deralakatte, Mangalore, Karnataka, India.
J Emerg Med. 2011 Nov;41(5):495-8. doi: 10.1016/j.jemermed.2008.03.033. Epub 2008 Oct 1.
Abdominal impalement injuries are usually associated with visceral and vascular injury, causing significant morbidity and mortality. The management of these injuries poses specific challenges in prehospital care, transport, and management strategies.
We report a case of transabdominal impalement with no injury to intra-abdominal visceral or vascular structures, demonstrating a chance occurrence. The literature regarding abdominal impalement injury is reviewed and the management of these injuries is discussed.
A 35-year-old man with a transabdominal impalement injury after an accidental fall from a tree on to a wooden fence was brought to the Accident and Emergency Department. The wooden fence piece was impaled and in situ. Laparotomy revealed no intra-abdominal visceral or vascular injury.
Transabdominal impalement injuries pose peculiar challenges in prehospital care, transport to hospital, and management. Operative intervention is required in all cases for a conclusive and safe management, as the possibility of escaping intra-abdominal injury is very rare.
腹部贯穿伤通常伴有内脏和血管损伤，会导致严重的发病率和死亡率。这些损伤的处理在院前急救、转运及管理策略方面带来了特殊挑战。
我们报告一例经腹贯穿伤病例，腹腔内的内脏和血管结构未受损伤，显示出一种偶然情况。回顾了关于腹部贯穿伤的文献并讨论了这些损伤的处理方法。
一名35岁男性因意外从树上跌落至木栅栏而致经腹贯穿伤，被送至急诊科。木栅栏碎片刺入并留在原位。剖腹探查显示腹腔内无内脏或血管损伤。
经腹贯穿伤在院前急救、转运至医院及处理方面带来特殊挑战。所有病例都需要进行手术干预以进行确定性和安全的处理，因为腹腔内隐匿性损伤的可能性非常小。
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