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Penetrating Injury to the Gallbladder by a Needle Fish
Diwakar R Sarma1, Sabu S Jeyasekharan2
1Department of General Surgery, Darent Valley Hospital NHS Foundation Trust, Darenth Road, Dartford, DA2 8DA UK.
The Indian Journal of Surgery
|June 16, 2016
Summary
A fisherman survived a rare, life-threatening abdominal injury from a needle fish. Prompt diagnosis and surgery were crucial for managing this unusual penetrating trauma.
Area of Science:
- Marine biology
- Trauma surgery
- Surgical case reports
Background:
- Penetrating abdominal trauma presents significant global mortality risks.
- Unusual mechanisms of injury require detailed documentation for medical understanding.
Purpose of the Study:
- To report a rare case of intra-abdominal injury caused by a needle fish.
- To highlight the diagnostic and management challenges of this unique trauma.
Main Methods:
- Case report of a fisherman injured by a needle fish at sea.
- Clinical presentation, diagnostic workup, and surgical intervention described.
- Review of literature for similar cases.
Main Results:
- The patient sustained an isolated penetrating injury to the gallbladder, leading to biliary peritonitis.
- Despite delayed presentation, prompt resuscitation and surgery resulted in successful patient management.
- The injury mechanism, involving a needle fish, is exceptionally rare.
Conclusions:
- Penetrating injuries from marine life, though infrequent, can have severe consequences.
- Timely surgical intervention is critical for managing such rare abdominal traumas.
- This case underscores the importance of considering diverse etiologies in penetrating abdominal injuries.