DOI QR코드

DOI QR Code

A Case of Severe Thoracoabdominal Impalement by a Steel Bar

  • Kim, Ki Tae (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine) ;
  • Seo, Pil Won (Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine)
  • 투고 : 2016.01.12
  • 심사 : 2016.07.06
  • 발행 : 2016.12.05

초록

A 53-year-old man arrived at the trauma center with a steel bar penetrating from the epigastrium to the right scapula. He was hypotensive and hypoxic, and immediate resuscitation and basic evaluation were performed. An emergency operation was performed due to an unstable hemodynamic state. Multiple injuries were confirmed in the right lower lobe, posterior chest wall, diaphragm, and liver lateral segment. Right lower lobectomy and liver lateral sectionectomy were performed following removal of the bar. The patient recovered without additional hemorrhage after the surgery, and was transferred to a rehabilitation institution with periodic follow-up.

키워드

참고문헌

  1. Sawhney C, D'souza N, Mishra B, Gupta B, Das S. Management of a massive thoracoabdominal impalement: a case report. Scand J Trauma Resusc Emerg Med 2009;17:50. https://doi.org/10.1186/1757-7241-17-50
  2. Ayandipo OO, Irabor D, Afuwape O, Adeoye P, Salami M. Multiple thoracoabdominal impalement injuries. Prehosp Disaster Med 2012;27:88-9. https://doi.org/10.1017/S1049023X11006820
  3. Lunevicius R, O'ullivan A. Unusual management of thoracoabdominal impalement injury to the right hemiliver and diaphragm. Chin J Traumatol 2014;17:41-3.
  4. Winfield RD, Parr AG, Ang DN, et al. A case of dual thoracoabdominal impalement in vehicular trauma. Am Surg 2008;74:757-60.

피인용 문헌

  1. Crowbar impalement: the PHEM perspective vol.11, pp.1, 2016, https://doi.org/10.1136/bcr-2018-227293
  2. A forensic evaluation of impalement injuries vol.58, pp.2, 2018, https://doi.org/10.1177/0025802418755588
  3. Modern approaches to surgical treatment of thoraco-abdominal wounds vol.177, pp.5, 2016, https://doi.org/10.24884/0042-4625-2018-177-5-100-104
  4. Thoracoabdominal Impalement Injuries-Case Report vol.83, pp.suppl1, 2021, https://doi.org/10.1007/s12262-020-02584-2