Retained Intra-abdominal Knife in a Self inflicted Stab
1Department of Surgery, Jhalawar Medical College, Jhalawar, 326001 Rajasthan India.
The Indian Journal of Surgery
|January 16, 2014
Summary
A 25-year-old man sustained a kitchen knife abdominal stab wound while in police custody. The injury involved the gastrocolic omentum and transverse colon, but the patient had a favorable postoperative recovery.
Area of Science:
- Trauma Surgery
- Abdominal Injury Management
- Surgical Case Reports
Background:
- Unusual presentation of abdominal stab wounds with retained foreign objects.
- Importance of prompt surgical evaluation for penetrating abdominal trauma.
- Challenges in managing injuries involving hollow and solid organs.
Purpose of the Study:
- To report a rare case of abdominal stab injury with a retained kitchen knife.
- To describe the surgical management and outcomes of such a unique presentation.
- To highlight the importance of thorough intraoperative assessment in penetrating trauma.
Main Methods:
- Case report of a 25-year-old male patient with a retained abdominal knife.
- Surgical exploration and repair of gastrocolic omentum and management of transverse colon contusion.
- Postoperative care and monitoring.
Main Results:
- The kitchen knife had lacerated the gastrocolic omentum and caused a contusion to the transverse colon.
- Surgical intervention successfully managed the intra-abdominal injuries.
- The patient experienced an uneventful postoperative recovery period.
Conclusions:
- Penetrating abdominal trauma with retained knives, though rare, requires immediate surgical intervention.
- Careful surgical technique is crucial for managing associated organ damage.
- Favorable outcomes are achievable with prompt and appropriate management.


