Citation

Angelopoulos S, Mantzoros I, Kyziridis D, Fontalis A, Parpoudi S, Konstandaras D, Tsalis C. Int. J. Surg. Case Rep. 2016; 22: 40-43.

Affiliation

4th Department of Surgery, Medical Faculty of Aristotle University of Thessaloniki, Exochi, 570 10 Thessaloniki, Greece.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.ijscr.2016.03.011

PMID

27046102

Abstract

INTRODUCTION: Impalement injuries are caused by objects that penetrate and remain inside the human body. They are rare and often lead to complex surgical problems, demanding immediate measures and intensive care. PRESENTATION OF CASE: We report a case of a 39 year old male who presented in our emergency department with a history of fall from a 3m high ladder, landing on a wooden stick that penetrated the patient from his left lumbar region, leading to a trans-abdominal impalement injury.

DISCUSSION: Nowadays impalement injuries although rare, demonstrate a challenging presentation for emergency providers. Their complexity often raises concerns about the proper surgical approach and postoperative management. In many cases, they may cause severe morbidity or even be lethal.

CONCLUSION: The article describes a case of a transabdominal impalement injury and pinpoints the strategies followed regarding the prehospital care, as well as the intra- and postoperative management.

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Language: en