Georgiadou Despoina, Zografos George N, Vaidakis Dennis, Avlonitis Spiridon, Katopodi Angeliki, Tzirakis Emmanouil N, Sioutos Panagiotis, Drossos Charalambos, Lampropoulou Penelope, Papastratis George
3rd Surgical Clinic of George Gennimatas General Hospital, Mesogeion Ave 154, 156 69 Athens, Greece.
BMC Surg. 2010 Oct 22;10:30. doi: 10.1186/1471-2482-10-30.
Penetrating injuries of the abdomen and spinal canal that involve organic material of animal origin are extremely rare and derive from domestic and wild animal attacks or fish attacks.
In this case report we present the unique, as far as the literature is concerned, unprovoked woman's injury to the abdomen by a swordfish. There are only four cases of swordfish attacks on humans in the literature - one resulted to thoracic trauma, two to head trauma and one to knee trauma, one of which was fatal - none of which were unprovoked. Three victims were professional or amateur fishermen whereas in the last reported case the victim was a bather as in our case. Our case is the only case where organic debris of animal's origin remained in the spinal canal after penetrating trauma.
Although much has been written about the management of penetrating abdominal and spinal cord trauma, controversy remains about the optimal management. Moreover, there is little experience in the management of patients with such spinal injuries, due to the fact that such cases are extremely rare. In this report we focus on the patient's treatment with regard to abdominal and spinal trauma and present a review of the literature.
涉及动物源性有机物质的腹部和椎管穿透伤极为罕见，多源于家养或野生动物攻击或鱼类攻击。
在本病例报告中，就现有文献而言，我们呈现了一例独特的、毫无缘由的旗鱼致女性腹部损伤的病例。文献中仅有4例旗鱼攻击人类的案例——1例导致胸部创伤，2例导致头部创伤，1例导致膝盖创伤，其中1例致死——均非毫无缘由。3名受害者为专业或业余渔民，而在最后报道的案例中，受害者如我们的病例一样是一名沐浴者。我们的病例是穿透伤后动物源性有机碎片残留在椎管内的唯一案例。
尽管关于穿透性腹部和脊髓创伤的处理已有诸多著述，但对于最佳处理方式仍存在争议。此外，由于此类病例极为罕见，在处理此类脊柱损伤患者方面经验甚少。在本报告中，我们聚焦于该患者腹部和脊柱创伤的治疗，并对文献进行综述。
