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Wooden stick penetration from the perineal region up to the thorax

Wooden stick penetration from the perineal region up to the thorax

作     者:Khem Pal Singh Anil Kumar Joshi Mohit Kumar Joshi Chitra Joshi Mridu Singh Vikram Singh 

作者机构:V.C.S.G.Government Medical Sciences & Research Institute 

出 版 物:《World Journal of Emergency Medicine》 (世界急诊医学杂志(英文))

年 卷 期:2015年第6卷第4期

页      面:305-307页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Penetrating injury Perineal region Perineal injuries 

摘      要:BACKGROUND: Penetrating injuries of the perineum are rare but very dangerous. Since the genitourinary and colorectal organs may be injured, how to evaluate surgical management of the injury is very ***: The present report presents a case of penetrating injury of the perineum by a wooden stick when the patient fell on the upright wooden stick from a tree. The three feet long stick entered the perineal region just left lateral to the anal opening. Upon reaching the thoracic cavity, it broke and only a foot stick was left in the subcutaneous plane. These injuries are potentially serious with risk of damage to multiple organs. Exploratory laprotomy was done, and bladder injury was repaired. The entry wound and the track of stick was thoroughly washed and allowed for secondary intention ***: The post operative period was uneventful and the patient recovered ***: Meticulous evaluation and surgical management of perineal injuries are the key to prevent devastating complications.

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