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Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report

Received: 2 May 2016     Accepted: 13 May 2016     Published: 27 May 2016
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Abstract

This study aims to evaluate the immediate post-operative results of this particular case report. Accidents at the workplace are frequent in Africa due to lack of adequate protective equipment. The traumatic injuries sustained can be potentially life-threatening. Impalement injuries related to these accidents are even more rarely encountered in surgical practice. We are reporting on a particular case of a 14-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a penetrating abdominal injury by impalement on a wooden bar that had occurred following a fall from a building at a construction site. The bar penetrated from the left flank and exited through the right flank, resulting in evisceration and incarceration of the small bowel. An emergency operation was performed to remove the foreign object and to reestablish anatomic continuity in the patient and resection of a 90cm-long necrotic segment of the terminal ileum.

Published in Advances in Surgical Sciences (Volume 4, Issue 3)
DOI 10.11648/j.ass.20160403.12
Page(s) 13-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Penetrating, Abdominal Trauma, Transfixing, Impalement, Accident, Work

References
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[2] Pieracci, Fredric M; Jurkovich, Gregory J. Penetrating Abdominal Trauma. Current Surgical Therapy. Published January 1, 2014. Pages 1021-1027. © 2014. PubMed.
[3] EAST guidelines 2007.
[4] Brand M, Grieve A - Cochrane Database Prophylactic antibiotics for penetrating abdominal trauma Syst Rev - January 1, 2013; 11; CD007370. MEDLINE.
[5] Munshi IA, DiRocco JD, Khachi G. Isolated jejunal perforation after blunt thoracoabdominal trauma. J Emerg Med 2006; 30: 393-395.
[6] Nagy K, Roberts R, Joseph K, An G, Barrett J. Evisceration after abdominal stab wounds: is laparotomy required? J Trauma. 1999; 47: 622–624. doi: 10.1097/00005373-199910000-00002.
[7] F Edwin, M Tettey, L Sereboe, E Aniteye, D Kotei, M Tamatey, K Entsuamensah, I Delia, and K Frimpong-Boateng Impalement Injuries of the Chest Ghana Med J. 2009 Jun; 43 (2): 86–89. PMCID: PMC3039238.
[8] Darbari A, Tandon S, Singh AK. Thoracic impalement injuries. IJTCVS. 2005; 21: 229–231.
[9] Greenberg, Michael I. MD, MPH Diagnosis: Small Bowel Evisceration Emergency Medicine News: April 2003 - Volume 25 - Issue 4 - p 8 Doorway Diagnosis.
[10] Nicole Brofman, MD, Mostafa Atri, MD, Dip Epid, John M. Hanson, MBBCh, Leonard Grinblat, MD, Talat Chughtai, MD, and Fred Brenneman, MD Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT RSNA Education Exhibits July-August 2006 Volume 26, Issue 4.
[11] Linas Urbanavičius, Piet Pattyn, Dirk Van de Putte, and Donatas Venskutonis How to assess intestinal viability during surgery: A review of techniques World J Gastrointest Surg. 2011 May 27; 3 (5): 59–69. Published online 2011 May 27. doi: 10.4240/wjgs.v3.i5.59.
[12] R. Shayn Martin and J. Wayne Meredith Management of Acute Trauma Download PDF Sabiston Textbook of Surgery, Chapter 18, 430-470.
[13] Jones EL, Stovall RT, Jones TS, Bensard DD, Burlew CC, Johnson JL, Jurkovich GJ, Barnett CC, Pieracci FM, Biffl WL, Moore EE - Intra-abdominal injury following blunt trauma becomes clinically apparent within 9 hours J Trauma Acute Care Surg - April 1, 2014; 76 (4); 1020-3. MEDLINE.
[14] Iwasaki T, Kasai T, Higo T, Hirosawa K, Kobayashi K. A clinical review of impalement injuries –problems in diagnosis and perioperative management–. J Jpn Surg Assoc 1989; 50: 631–8.
[15] Jordan A. Weinberg & Martin A. Croce Penetrating Injuries to the Stomach, Duodenum, and Small Bowel Curr Trauma Rep (2015) 1:107–112 DOI 10.1007/s40719-015-0010-2 Springer International Publishing AG 2015.
[16] Camara SN et al Chronic pancreatitis located in the pancreatic duct of a 23-year-old patient - What can be done? Archives of Clinical Experimental Surgery doi:10.5455/aces.20151202095233.
Cite This Article
  • APA Style

    Oumar Taibata Balde, Abdoulaye Korse Balde, Amadou Dioulde Diallo, Soriba Naby Camara, Boubacar Diallo, et al. (2016). Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report. Advances in Surgical Sciences, 4(3), 13-17. https://doi.org/10.11648/j.ass.20160403.12

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    ACS Style

    Oumar Taibata Balde; Abdoulaye Korse Balde; Amadou Dioulde Diallo; Soriba Naby Camara; Boubacar Diallo, et al. Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report. Adv. Surg. Sci. 2016, 4(3), 13-17. doi: 10.11648/j.ass.20160403.12

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    AMA Style

    Oumar Taibata Balde, Abdoulaye Korse Balde, Amadou Dioulde Diallo, Soriba Naby Camara, Boubacar Diallo, et al. Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report. Adv Surg Sci. 2016;4(3):13-17. doi: 10.11648/j.ass.20160403.12

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  • @article{10.11648/j.ass.20160403.12,
      author = {Oumar Taibata Balde and Abdoulaye Korse Balde and Amadou Dioulde Diallo and Soriba Naby Camara and Boubacar Diallo and Aissatou Balde and Alpha Kabinet Camara and Sneha Ballah and Ahmed Boubacar Barry and Biro Diallo},
      title = {Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report},
      journal = {Advances in Surgical Sciences},
      volume = {4},
      number = {3},
      pages = {13-17},
      doi = {10.11648/j.ass.20160403.12},
      url = {https://doi.org/10.11648/j.ass.20160403.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20160403.12},
      abstract = {This study aims to evaluate the immediate post-operative results of this particular case report. Accidents at the workplace are frequent in Africa due to lack of adequate protective equipment. The traumatic injuries sustained can be potentially life-threatening. Impalement injuries related to these accidents are even more rarely encountered in surgical practice. We are reporting on a particular case of a 14-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a penetrating abdominal injury by impalement on a wooden bar that had occurred following a fall from a building at a construction site. The bar penetrated from the left flank and exited through the right flank, resulting in evisceration and incarceration of the small bowel. An emergency operation was performed to remove the foreign object and to reestablish anatomic continuity in the patient and resection of a 90cm-long necrotic segment of the terminal ileum.},
     year = {2016}
    }
    

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    T1  - Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report
    AU  - Oumar Taibata Balde
    AU  - Abdoulaye Korse Balde
    AU  - Amadou Dioulde Diallo
    AU  - Soriba Naby Camara
    AU  - Boubacar Diallo
    AU  - Aissatou Balde
    AU  - Alpha Kabinet Camara
    AU  - Sneha Ballah
    AU  - Ahmed Boubacar Barry
    AU  - Biro Diallo
    Y1  - 2016/05/27
    PY  - 2016
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    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
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    EP  - 17
    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ass.20160403.12
    AB  - This study aims to evaluate the immediate post-operative results of this particular case report. Accidents at the workplace are frequent in Africa due to lack of adequate protective equipment. The traumatic injuries sustained can be potentially life-threatening. Impalement injuries related to these accidents are even more rarely encountered in surgical practice. We are reporting on a particular case of a 14-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a penetrating abdominal injury by impalement on a wooden bar that had occurred following a fall from a building at a construction site. The bar penetrated from the left flank and exited through the right flank, resulting in evisceration and incarceration of the small bowel. An emergency operation was performed to remove the foreign object and to reestablish anatomic continuity in the patient and resection of a 90cm-long necrotic segment of the terminal ileum.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Pancreatic Surgery, Huazhong University of Science and Technology, Wuhan, China

  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Thoracic Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Internal Medicine, Huazhong University of Science and Technology, Wuhan, China

  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea

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