Wooden stick penetration from the perineal region up to the thorax
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Khem Pal Singh1, Anil Kumar Joshi1, Mohit Kumar Joshi1
1V.C.S.G. Government Medical Sciences & Research Institute, Srinagar Garhwal, Pauri Garhwal, Uttarakhand, India.
Background:
Penetrating injuries of the perineum are rare but very dangerous. Since the genitourinary and colorectal organs may be injured, how to evaluate surgical management of the injury is very important.
Methods:
The present report presents a case of penetrating injury of the perineum by a wooden stick when the patient fell on the upright wooden stick from a tree. The three feet long stick entered the perineal region just left lateral to the anal opening. Upon reaching the thoracic cavity, it broke and only a foot stick was left in the subcutaneous plane. These injuries are potentially serious with risk of damage to multiple organs. Exploratory laprotomy was done, and bladder injury was repaired. The entry wound and the track of stick was thoroughly washed and allowed for secondary intention healing.
Results:
The post operative period was uneventful and the patient recovered fully.
Conclusion:
Meticulous evaluation and surgical management of perineal injuries are the key to prevent devastating complications.