Al Lahham Salim, Farsakoury Rana, Nashwan Abdulqadir J
Plastic and Reconstructive Surgery, Hamad Medical Corporation, Doha, QAT.
Nursing and Midwifery Research, Hamad Medical Corporation, Doha, QAT.
Cureus. 2025 Jun 12;17(6):e85830. doi: 10.7759/cureus.85830. eCollection 2025 Jun.
The patient in this case report is a 17-year-old male individual who presented as a victim of an assault by knife attack that resulted in a cut below the left elbow, and the knife was stuck at the site of injury. He complained of pain at the site of injury, in addition to an inability to pull out the knife. Physical examination showed a knife stuck below the elbow with normal sensation, pulsations, and range of motion. Laboratory investigations and an X-ray were ordered for the patient. X-ray showed a penetrating knife wound through the left forearm, passing through the radius and ulna, with swelling of the overlying soft tissues of the forearm. The patient was shifted to the operating theater for limb-saving surgery. Intraoperative exploration showed a penetrating wound by a knife through the left forearm, passing through the radius and injuring one of the venae comitantes of the ulnar artery and some perforators. The knife was removed, and an X-ray was taken to check for a fracture of the radius, which showed only a through-and-through tract with no obvious fracture. Hemostasis was achieved, and the wound was closed. The patient was discharged with regular follow-up appointments.
本病例报告中的患者是一名17岁男性，他是一起持刀袭击案的受害者，左肘下方被割伤，刀扎在受伤部位。他除了抱怨受伤部位疼痛外，还无法拔出刀。体格检查显示刀扎在肘部下方，感觉、脉搏和活动范围正常。为患者安排了实验室检查和X线检查。X线显示左前臂有一处穿透性刀伤，穿过桡骨和尺骨，前臂上方软组织肿胀。患者被转移到手术室进行保肢手术。术中探查显示左前臂有一处刀的穿透伤，穿过桡骨并损伤了尺动脉的一条伴行静脉和一些穿支。刀被取出，拍摄X线检查桡骨是否骨折，结果显示只有一个贯通通道，无明显骨折。实现了止血，伤口缝合。患者出院并定期进行随访预约。
