A penetrating thoracoabdominal injury with arrow head: a case report

Authors

  • Suman De Department of General Surgery, Rampurhat Government Medical College, Birbhum, West Bengal, India
  • Rudra Dey Department of General Surgery, Rampurhat Government Medical College, Birbhum, West Bengal, India
  • Siddhartha Biswas Department of General Surgery, Rampurhat Government Medical College, Birbhum, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20220658

Keywords:

Penetrating injury, Intrathoracic abdomen, Pneumothorax, Hemodynamics, Laparotomy

Abstract

Penetrating injuries to the chest present a frequent and challenging problem. The majority of these injuries can be managed non-operatively. The selection of patients for operation or observation can be made by clinical examination and appropriate investigations. A 17 years old male patient presented with an arrow inserted in his chest wall 5 cm. below right nipple. The patient was stable hemodynamically with no signs and symptoms of pneumothorax. Imaging of chest and abdomen, followed by laparotomy and removal of the arrow head from left lobe of liver performed.

References

Committee on Trauma, American College of Surgeons: Advanced Trauma Life Support, Chicago. ACS. 1989;113-9.

Madden MR, Paull DE, Finkelstein JL. Occult diaphragmatic injury from stab wounds to the lower chest and abdomen. J Trauma. 1989;29:292.

Fabian TC, Croce MA, Stanford GG, Payne LW, Mangiante EC, Voeller GR et al. Factors affecting morbidity following hepatic trauma: a prospective analysis of 482 injuries. Ann Surg. 1991;213(6):540Y547.

Demetriades D, Rabinowitz B, Markides N. Indications for thoracotomy in stab injuries of the chest: A prospective study of 543 patients. Br J Surg. 1986;73:880-90.

Defore W, Mattox K, Jordan G, Beall A. Management of 1590 consecutive cases of liver trauma. Arch Surg. 1976;111:493-7.

Levin A, Cover P, Nance F. Surgical restraint in the management of hepatic injury: a review of Charity Hospital experience. J Trauma. 1978;18:399404.

Mays ET. The hazards of suturing certain wounds of the liver. Surg Gynecol Obstet. 1976;143:2014.

Lim R, Lau G, Steele M. Prevention of complications after liver trauma. Am J Surg. 1976;132:15662.

Meriotti GJ, Marcet E, Sheaff CM. Peritoneal lavage in penetrating thoracoabdominal trauma. J Trauma. 1988;28;17.

Feliciano DV, Cruse PA, Mattox KL. Delayed diagnosis of injuries to the diaphragm after penetrating wounds. J Trauma. 1989;28:1135.

Downloads

Published

2022-02-28

Issue

Section

Case Reports