Davison-Kerwood Maxwell, Langley David M, Cordova Alfredo, Grant Ashley
Emergency Medicine, Florida State University College of Medicine, Sarasota, USA.
Trauma and Acute Care Surgery, Sarasota Memorial Hospital, Sarasota, USA.
Cureus. 2025 Jan 24;17(1):e77928. doi: 10.7759/cureus.77928. eCollection 2025 Jan.
Penetrating abdominal injuries can be life-threatening and require prompt recognition and surgical intervention. We present the case of a 48-year-old male patient who presented to the emergency department with abdominal pain that began while mowing his lawn just before arrival but without any external signs of trauma. Point-of-care ultrasound revealed a possible linear hyperechoic foreign body just beneath the abdominal wall, a finding confirmed by computed tomography. The foreign body was subsequently retrieved in the operating room, and the patient had an excellent recovery. This type of abdominal injury mechanism is rarely documented in the literature. Relevant topics discussed include the incidence and burden of lawn mower injuries, their similarity to other projectile injuries, and potential challenges in diagnosing and managing such cases.
穿透性腹部损伤可能危及生命,需要及时识别并进行手术干预。我们报告一例48岁男性患者,他在到达急诊室前修剪草坪时开始出现腹痛,但没有任何外部创伤迹象。床旁超声显示腹壁下方可能存在一条线性高回声异物,计算机断层扫描证实了这一发现。随后在手术室取出异物,患者恢复良好。这种腹部损伤机制在文献中鲜有记载。讨论的相关主题包括割草机损伤的发生率和负担、它们与其他投射物损伤的相似性,以及诊断和处理此类病例的潜在挑战。