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Urogenital Trauma by Pelvic impalement: A Case Reported at Bouake University Hospital

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Open Journal of Urology 2023年第2期13卷 64-72页

作者： N’Diamoi Akassimadou Kouassi Patrice Avion Koffi Dje Brice Aguia Edi Edmond Gowe Freddy Junior Zouan Dago Venance Alloka Sadia Kamara Roger Lebeau Urology Department Bouaké University Hospital Bouaké Ivory Coast Urology Department Abidjan Cocody University Hospital Abidjan Ivory Coast General and Digestive Surgery Department Bouaké University Hospital Bouaké Ivory Coast

Urogenital impalement trauma is a particular form of penetrating trauma to the pelvis. They are rare, spectacular or dramatic because they can be responsible for serious vascular and/or visceral lesions. This study reports a case of hypogastric impalement in a 19-year-old young man that caused musculoaponeurotic and urogenital lesions. Emergency surgical exploration was carried out urgently by a multidisciplinary team.

关键词： Urogenital Trauma impalement Emergency Surgery Cystorrhaphy

Skull Base Penetration Due to Cervical impalement Injury: A Case Report and Review of the Literature

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Open Journal of Modern Neurosurgery 2014年第1期4卷 13-18页

作者： Kei Miyata Takeshi Mikami Yukinori Akiyama Toshiya Sugino Reiko Kiyan Eichi Narimatsu Nobuhiro Mikuni Department of Emergency Medicine Sapporo Medical University Sapporo Japan Department of Neurosurgery Sapporo Medical University Sapporo Japan

impalement injury is a rare type of trauma, and the management should be performed carefully. In cases with impalement injuries, the area of injury and crush might be extensive because the penetrating object itself is generally large and long. Herein, we report our experience with a rare case of cervical impalement injury caused by an iron reinforcing bar penetrating the optic canal and thereby causing brain contusion. A 32-year-old man fell while working at a construction site and sustained an injury due to an iron reinforcing bar that penetrated his right neck. On arrival at the hospital, consciousness was clear and the bar was removed by himself. The patient had lost the sight in his right eye, and cerebrospinal fluid (CSF) rhinorrhea was present. Based on the results of computed tomography (CT) of the head and neck, the bar was thought to have passed through the right mandible and the right optic canal and penetrated the frontal lobe. Surgical repair of frontal base was performed using femoral fascia, completely stopping the CSF leak. The patient was discharged on the 31st hospital day walking independently. In our present case, the top of a foreign body was reached an intracranial site. impalement injuries require detailed assessment of the injury sites because outcomes depend on the severity of injuries at surrounding anatomical structures. Multiple planar reconstruction using recent multidetector row CT scanning was considered to be useful for the assessment of penetrating routes and injury severity.

关键词： impalement Injury Penetrating Injury Skull Base Multiple Planar Reconstruction

Thoracic impalement injury: A survivor with large metallic object in-situ

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Chinese Journal of Traumatology 2018年第6期21卷 369-372页

作者： Randhawa Muhammad Afzal Muhammad Armughan Muhammad Waqas Javed Usman Ali Rizvi Sajida Naseem Department of Surgery. Bahawal Victoria Hospital Q_uaid-E-Azam Medical College Bahawalpur Pakistan

impalement injuries, is a severe form of trauma, which are not common in civilian life. These injuries rarely occurs in major accidents. Abdomen, chest, limbs and perineum are often involved due to their large surface area. Thoracic impalement injury is usually a fatal injury, due to location of major vessels and heart in the thoracic cavity. These injuries are horrifying to site, but the patients who are lucky enough to make it to hospital, usually survive. Chances of survival are larger in right sided impalement injuries while central injuries are always died at the *** patient, 25 years old male, was brought to the emergency room (ER) with large impaled metallic bar (about 2.5 feet long) in situ, in right sided chest. The patient was immediately shifted to operation room (OR) and was operated, his recovery was uneventful without any *** patients should be treated and resuscitated according to advanced trauma life support (ATLS) protocols and operated without any delay for further investigations. Such operations are carried out by the most experienced surgeon team available. The impaled objects should not be processed if not necessary to avoid major hemorrhage and damage to vital structures, until the patient is in operation room. Large size and unusual position of impaled objects, makes the job difficult for surgeons/*** horrifying at scene, patients with thoracic impalement injuries are mostly young and healthy, and those who survive the pre-hospital phase are potentially manageable with proper resuscitation. Usually these patients make recovery without any further complications.

关键词： impalement Injury Thoracic Metallic object Traffic accident Sequela

Survival following an impalement injury through the perineum in association with high voltage electrical burns: A case report

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Journal of Acute Disease 2017年第2期6卷 82-84页

作者： Joseph Yorke Pius Agbenorku Ronald Awoonor-Williams Kofi Baah Nyamekye George Amoah Offoe Michael Adinku Charles Appiah Amoah Edward Boateng Esinam Anita Agbeko Papa Kwesi Sonsomir Fiifi-Yankson Dorcas Ahulu Daniel Anning Gyawu Dennis Afful Yorke Department of Surgery School of Medical SciencesCollege of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana General Surgery Unit Directorate of SurgeryKomfo Anokye Teaching HospitalKumasiGhana Reconstructive Plastic Surgery&Burns Unit Department of SurgerySchool of Medical SciencesCollege of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana Urology Unit Department of SurgeryKomfo Anokye Teaching HospitalKumasiGhana Directorate of Anaesthesia and Intensive Care Unit Komfo Anokye Teaching HospitalKumasiGhana School of Medical Sciences College of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana

We reported a case of a 30-year-old man who reportedly sustained electrical burns and fell from a high voltage electric pole about 50 meter high onto a metal that caused impalement injury. In addition, he sustained full-thickness burns of the right upper limb (7%), the right hemithorax, the perineum (sparing the penis), the anterior abdominal wall and the lateral aspect of both thighs. There was 43% burned surface area in total. Radiographic examination revealed a slender curved object extending from his perineum into the pelvis. The management of this case was a challenging one which was described in this article.

关键词： impalement injury High voltage electrical burns Perineum Pelvis