Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

A Case of Thoraco-abdominal Penetrating Injury with an Scaffolding Pipe following a Falling

추락과 동반된 강관파이프에 의한 흉-복강 관통상 1례

  • Received : 2006.09.18
  • Accepted : 2006.11.08
  • Published : 2006.12.30
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Abstract

An increase has been see in fall injuries at construction sites and in penetrating injuries by iron bars or pipes associated with the fall. In particular, a thoraco-abdominal penetrating injury had the worse prognosis, and multiple organ injury occurred because of blunt trauma associated with fall. Iron bars were the most common penetrating materials, and pipe penetrating injuries were uncommon. However, because the diameter of the pipes were large than those of the bars, penetrating injuries associated with pipes were more often fatal. A secondary thoraco-abdominal injury worsened the prognosis. We reported a case of a 33-year-old man with a thoraco-abdominal trauma secondary to a penetrating injury with a scaffolding pipe following a fall.

Keywords

References

  1. Yun SY, Cheon YJ, Won TH. Clinical patterns of penetrating torso injury at emergency department. J Korean Trauma Soc 2005;18:47-52
  2. Kim YJ, Lim DJ, Park IS, Chi HS. Penetrating injury by an iron reinforcing bar associated with a fall or slip injury. J Korean Surg Soc 1998;54:789- 94
  3. Sandrasagra FA. penetrating thoracoabdominal injuries. Br J Surg 1977;64:638-40 https://doi.org/10.1002/bjs.1800640909
  4. Manlulu AV, lee TW, Thung KH, Wong R. Current indications and result of VATS in th evaluation and management of hemodynamically stable thoracic injuries. Eur J Cardiothorac Surg 2004;25: 1048-53 https://doi.org/10.1016/j.ejcts.2004.02.017
  5. LoCicero J, Mattox KL. Epidemiology of chest trauma. Am Sur Clin North 1989;68:15-9
  6. Wall MJ, Huh J, Mattox KL. Thoracotomy. In: Moore EE, Feliciano DV, Mattox KL eds. Trauma. 5th ed. New York: McGraw-Hill, 2004:493-503
  7. Robinson PD, Harmon DL, Trinkle JK. Management of lung injury in civilian practice. J Thorac cardiovasc Surg 1988;95:184-90
  8. Yoon JC, Lim KS, Ahn R, Ahn S, Seo DW, Kim W et al. Role of the pulse oximetry as a triage tool in chest trauma patients. J Korean Trauma Soc 2003; 16:31-6
  9. Meyers BR, McCabe CJ. Traumatic diaphragmatic hernia: occult markers of srious injury. Ann Surg 1993;218:783-90 https://doi.org/10.1097/00000658-199312000-00013
  10. Shah R, Sabanathan S, Mearns AJ, Choudhery AK. Traumatic rupture of diaphragm. Ann Thorac surg 1995;60:1444-49 https://doi.org/10.1016/0003-4975(95)00629-Y
  11. Estrena AS, Platt MR, Milla MJ. Traumatic injuries of the diaphragm. Chest 1979;75:306-13 https://doi.org/10.1378/chest.75.3.306
  12. Estera AS, Landay MJ, McClellalnd RN. Blunt traumatic rupture of the right hemidiaphragm: experience in 12 patients. Ann Thorac Surg 1985; 39:525-30 https://doi.org/10.1016/S0003-4975(10)61992-3
  13. Rocha AG, Creel RJ, Muligan GN. Diaphranmaic rupture due to blunt trauma. Surg Gynecol Obstet 1982;154:175-80
  14. Iochum S, Ludig T, Walter F, et al. Imaging of diaphragmatic injury: a diagnostic challenge? Radiographics 2002;22:103-18 https://doi.org/10.1148/radiographics.22.suppl_1.g02oc14s103
  15. Patselas TN, Gallagher EG. The diagnostic dilemma of diaphragm injury. Am Sug 2002;68:633-9
  16. Lee SY. Clinical observation of penetrating thoracic injury. J Korean Trauma Soc 1999;12:24-9
  17. Wiencek RG, Wilson RF, Steiger Z. Acute injuries of the diaphragm: an annalysis of 165 case. J Thrac Cardiovasc Surg 1986;92:989-93
  18. Kim YH. A clincal analysis of traumatic diaphragmatic injury. J Korean Trauma Soc 2004;17:67-73
  19. Hill LD. Injuries of the diaphragm following blunt trauma. Am Surg Clin North 1972;52:611-9 https://doi.org/10.1016/S0039-6109(16)39736-5
  20. Fabian TC, Bee TK. Liver and biliary tract trauma. In: Moore EE, Feliciano DV, Mattox KL eds. Trauma. 5th ed. New York: McGraw-Hill, 2004: 637-62
  21. Yoo DG, Jo HC, Lee JA, Jeon SY. Bae BT. Clincal study of traumatic generalized peritonitis. J Korean Trauma Soc 2001;14:1-14
  22. Nance FC, Wennar MH, Johnson LW. Surgical judgement in the management of penetrating wound of the abdomen: experience with 2212 patients. Ann Surg 1974; 179: 639-46 https://doi.org/10.1097/00000658-197405000-00017
  23. Oglesby JE. Twenty-two month war surgery in Vietnam. Arc Surg 1971;102:607-13 https://doi.org/10.1001/archsurg.1971.01350060071023