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Related Experiment Videos

Mediastinal impalement with a fibreglass sheet.

Welege Samantha Buddhika Wimalachandra, Atasha Asmat1

  • 1Division of Thoracic Surgery, Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. atasha_asmat@ttsh.com.sg.

Singapore Medical Journal
|October 3, 2014
PubMed
Summary

Mediastinal impalement is rare and often fatal. This case highlights successful surgical removal of a fiberglass impalement from the anterior mediastinum, demonstrating patient survival.

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Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Emergency Medicine

Background:

  • Mediastinal impalement injuries are infrequent and carry a high mortality rate.
  • Survival is exceptionally rare, with most patients requiring immediate surgical intervention.
  • Standard management involves operative exploration irrespective of hemodynamic stability or comorbidities.

Observation:

  • A patient sustained a mediastinal impalement injury from a fractured fiberglass sheet.
  • The impalement involved the anterior mediastinum and fractured the manubrium.
  • Crucially, there were no associated injuries to the great vessels.

Findings:

  • Surgical removal of the fiberglass impalement was successfully performed.
  • A partial sternotomy approach facilitated the removal.

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  • The patient experienced an uncomplicated postoperative recovery.

    • Implications:

    • This case demonstrates the potential for survival in severe mediastinal impalement injuries.
    • Early surgical intervention, even in complex cases, can lead to favorable outcomes.
    • Highlights the importance of prompt diagnosis and management in thoracic trauma.