| Peer-Reviewed

Penetrating Wound of the Thorax by Zebu Horns: Report of an Observation

Received: 17 April 2023     Accepted: 26 May 2023     Published: 10 June 2023
Views:       Downloads:
Abstract

Introduction: Thoracic wounds by of zebus horns are rare accidents that occur most often in rural areas. They are characterized by their high sepsis. The objective of this work was to present a clinical case relating to a penetrating wound of the thorax by zebu horns. Observation: It was a 50-year-old patient with no particular pathological history who consulted the emergency room for chest pain, a wound in the chest following a trauma to the chest by zebus horns. On admission the vital parameters were within normal limits. There was a wound of about 2cm at the level of the 7th left intercostal space 2cm outside the nipple line, about 4cm deep, with irregular edges with slight subcutaneous emphysema, the right hemithorax was unremarkable; the abdomen was soft and painless, the examination extended to other organs and systems was normal. A chest X-ray showed a left hemo-pneumothorax. He had emergent surgery consisting of an abundant washing of the wound, a thoracic drainage and closure of the wound. The postoperative course was simple. Conclusion: penetrating wounds of the chest are frequent and serious lesions, zebu horns wounds represent a rare clinical entity found in particular conditions. The care is multidisciplinary, and it begins at the place of the accident. Thoracic drainage, the basic gesture of thoracic surgery, stabilizes most of the victims of this accident. The failure of the drainage must lead to a reassessment of the therapeutic attitude in order to rectify the initial diagnosis and prevent sequellar lesions.

Published in Journal of Surgery (Volume 11, Issue 3)
DOI 10.11648/j.js.20231103.12
Page(s) 70-72
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), 2023. Published by Science Publishing Group

Keywords

Wound, Thoracic, Zebu Horns

References
[1] Assoumani AA, Razafimahatratra R, Randriambololona RA, Solofomalala GD. Les particularités de la Prise en charge des plaies Pénétrantes du thorax au CHU de Fianarantsoa. Annales des sciences de la santé 2019 n 22 VOL 1. 30-37.
[2] Rakotoarisoa AJC, Raherison AR, S olomalala GD, Kotovao HJL Complications secondaires tardives des traumatismes fermés du thorax. Med Afr Noire 2006; 58 (5): 241-5.
[3] Gouffran J M. Les problemes de la traumatologie en chirurgie taurine. Le praticien en Anesthésie-réanimation. Masson 2006; p 44-51.
[4] Randrianambinina F, Jonatana AD, Randrianambinina H, Razafimanjato NNM, Rakotoarisoa AJC, Rakotovao HJL. Chest trauma by zebu encornment in Antananarivo Madagascar. Pulmonology 2018; 26 (9): 14-18.
[5] Anonymous Observatoire national de la délinquance et des réponses pénales. Bulletin pour l'année 2013. Janvier 2014, 48 p. http://www.inhesj.fr/sites/default/files/bulletin_annuel_2013.pdf (consulté le 01/02/2015).
[6] Rabiou S, Hama Y, Didier J et al Emergency management of penetrating chest trauma. Journal of functional ventilation and pulmonology 2016; 20 (7): 1-68.
[7] Champion HR A profile of combat injury. The Journal of trauma 2003; 54 (Suppl 5): S13-9.
[8] Yaqini K, Guartite A, Mouhaoui M et al Prise en charge des plaies thoraciques par arme blanche au service d’acceuil des urgences de Casablanca. JMARU 2003; 10: 253-319.
[9] Ehrhard AS, Bottea F, Klukowska-Rötzlera J, Aristomenis K. E, Dominik AJ. Cattle-related trauma: a 10-year retrospective cohort study of patients admitted to a single tertiary trauma centre in Switzerland. Swiss Med Wkly. 2022; 152: w30201.
[10] Caglayan, K., Celik, A., Ozkan, O. F. et al. Large Animal-Related Injuries in a Rural Population in Northeastern Turkey. Indian J Surg 75, 200-203 (2013).
[11] Johns E, Farrant G, Civil I (2004) Animal-related injury in an Urban New Zealand population. Injury Int J Care Injured 34: 1234-1238.
[12] Ziegler DW, Agarwal NN. The morbidity and mortality of rib fractures. J Trauma. 1994 Dec; 37 (6): 975-9.
[13] Aghaei Afshar M, Mangeli F, Nakhaei A. Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room. Indian J Surg. 2015 Jun; 77 (3): 191-4.
[14] Dennis BM, Bellister SA, Thoracic trauma. Guillamondegui OD. Surg Clin North Am. 2017 Oct; 97 (5): 1047-1064. doi: 10.1016/j.suc.2017.06.009.
[15] Ekpe EE, Eyo C. Determinants of mortality in chest trauma patients. Niger J Surg. 2014 Jan; 20 (1): 30-4.
[16] Veysi VT, Nikolaou VS, Paliobeis C, Efstathopoulos N, Giannoudis PV. Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. Int Orthop. 2009 Oct; 33 (5): 1425-33.
Cite This Article
  • APA Style

    Bangoura Mohamed Saliou, Kondano Saa Yawo, Diallo Mamadou Saliou, Yattara Abdoulaye, Soumaoro Labile Togba, et al. (2023). Penetrating Wound of the Thorax by Zebu Horns: Report of an Observation. Journal of Surgery, 11(3), 70-72. https://doi.org/10.11648/j.js.20231103.12

    Copy | Download

    ACS Style

    Bangoura Mohamed Saliou; Kondano Saa Yawo; Diallo Mamadou Saliou; Yattara Abdoulaye; Soumaoro Labile Togba, et al. Penetrating Wound of the Thorax by Zebu Horns: Report of an Observation. J. Surg. 2023, 11(3), 70-72. doi: 10.11648/j.js.20231103.12

    Copy | Download

    AMA Style

    Bangoura Mohamed Saliou, Kondano Saa Yawo, Diallo Mamadou Saliou, Yattara Abdoulaye, Soumaoro Labile Togba, et al. Penetrating Wound of the Thorax by Zebu Horns: Report of an Observation. J Surg. 2023;11(3):70-72. doi: 10.11648/j.js.20231103.12

    Copy | Download

  • @article{10.11648/j.js.20231103.12,
      author = {Bangoura Mohamed Saliou and Kondano Saa Yawo and Diallo Mamadou Saliou and Yattara Abdoulaye and Soumaoro Labile Togba and Fofana Houssein and Toure Aboubacar},
      title = {Penetrating Wound of the Thorax by Zebu Horns: Report of an Observation},
      journal = {Journal of Surgery},
      volume = {11},
      number = {3},
      pages = {70-72},
      doi = {10.11648/j.js.20231103.12},
      url = {https://doi.org/10.11648/j.js.20231103.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231103.12},
      abstract = {Introduction: Thoracic wounds by of zebus horns are rare accidents that occur most often in rural areas. They are characterized by their high sepsis. The objective of this work was to present a clinical case relating to a penetrating wound of the thorax by zebu horns. Observation: It was a 50-year-old patient with no particular pathological history who consulted the emergency room for chest pain, a wound in the chest following a trauma to the chest by zebus horns. On admission the vital parameters were within normal limits. There was a wound of about 2cm at the level of the 7th left intercostal space 2cm outside the nipple line, about 4cm deep, with irregular edges with slight subcutaneous emphysema, the right hemithorax was unremarkable; the abdomen was soft and painless, the examination extended to other organs and systems was normal. A chest X-ray showed a left hemo-pneumothorax. He had emergent surgery consisting of an abundant washing of the wound, a thoracic drainage and closure of the wound. The postoperative course was simple. Conclusion: penetrating wounds of the chest are frequent and serious lesions, zebu horns wounds represent a rare clinical entity found in particular conditions. The care is multidisciplinary, and it begins at the place of the accident. Thoracic drainage, the basic gesture of thoracic surgery, stabilizes most of the victims of this accident. The failure of the drainage must lead to a reassessment of the therapeutic attitude in order to rectify the initial diagnosis and prevent sequellar lesions.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Penetrating Wound of the Thorax by Zebu Horns: Report of an Observation
    AU  - Bangoura Mohamed Saliou
    AU  - Kondano Saa Yawo
    AU  - Diallo Mamadou Saliou
    AU  - Yattara Abdoulaye
    AU  - Soumaoro Labile Togba
    AU  - Fofana Houssein
    AU  - Toure Aboubacar
    Y1  - 2023/06/10
    PY  - 2023
    N1  - https://doi.org/10.11648/j.js.20231103.12
    DO  - 10.11648/j.js.20231103.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 70
    EP  - 72
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231103.12
    AB  - Introduction: Thoracic wounds by of zebus horns are rare accidents that occur most often in rural areas. They are characterized by their high sepsis. The objective of this work was to present a clinical case relating to a penetrating wound of the thorax by zebu horns. Observation: It was a 50-year-old patient with no particular pathological history who consulted the emergency room for chest pain, a wound in the chest following a trauma to the chest by zebus horns. On admission the vital parameters were within normal limits. There was a wound of about 2cm at the level of the 7th left intercostal space 2cm outside the nipple line, about 4cm deep, with irregular edges with slight subcutaneous emphysema, the right hemithorax was unremarkable; the abdomen was soft and painless, the examination extended to other organs and systems was normal. A chest X-ray showed a left hemo-pneumothorax. He had emergent surgery consisting of an abundant washing of the wound, a thoracic drainage and closure of the wound. The postoperative course was simple. Conclusion: penetrating wounds of the chest are frequent and serious lesions, zebu horns wounds represent a rare clinical entity found in particular conditions. The care is multidisciplinary, and it begins at the place of the accident. Thoracic drainage, the basic gesture of thoracic surgery, stabilizes most of the victims of this accident. The failure of the drainage must lead to a reassessment of the therapeutic attitude in order to rectify the initial diagnosis and prevent sequellar lesions.
    VL  - 11
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Regional Hospital, Ndioum, Senegal

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Sections