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Threaded-alive on a wooden picket.

Mujahid Zulfiqar Ali1

  • 1Department of Surgery, MST. 5-Mountain Field Ambulance, Azad Kashmir. surgeons786@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 9, 2004
PubMed
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A 4-year-old girl survived impalement by a wooden picket through her torso after a fall. Surgical intervention successfully removed the foreign object, highlighting the importance of prompt medical care in severe penetrating trauma.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Penetrating torso injuries in children are rare but can be life-threatening.
  • Falls from height present a significant risk for severe traumatic injuries.

Observation:

  • A 4-year-old female sustained a penetrating abdominal injury from a wooden picket after a fall from a roof.
  • The picket entered the left subcostal region and exited the right buttock, with the patient 'threaded-alive'.

Findings:

  • Midline laparotomy was performed for surgical exploration and management.
  • Successful removal of the wooden picket was achieved by enlarging the entry and exit wounds.

Implications:

  • This case underscores the critical need for rapid surgical assessment and intervention in pediatric penetrating trauma.

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  • Effective management of such injuries relies on prompt diagnosis, surgical expertise, and meticulous wound management.
  • Successful outcomes are possible even with extensive penetrating foreign body injuries with timely and appropriate medical care.