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Penetrating injury caused by a long iron bar: A case report

Seyithan Ozaydin1, Aykan Gulleroglu2, Birgul Karaaslan1

  • 1Department of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Northern Clinics of Istanbul
|April 3, 2018
PubMed

Insights

A pediatric patient sustained a severe impalement injury from a 12-meter iron bar. Prompt, coordinated emergency response and surgical intervention were crucial for successful management.

Area of Science:

  • Trauma surgery
  • Pediatric emergency medicine
  • Foreign body impalement injuries

Background:

  • Foreign body impalement injuries, particularly those involving long objects, pose significant clinical challenges.
  • Effective management requires a multidisciplinary approach, encompassing emergency response, surgical expertise, and comprehensive patient care.

Observation:

  • A pediatric patient presented after impalement by a 12-meter iron bar, entering from the anal region and extending to the loin.
  • The patient required prolonged extrication, with the iron bar being cut by the fire department before hospital arrival.

Findings:

  • The case highlights the critical need for immediate assessment and a well-coordinated team approach in managing complex impalement injuries.
  • Surgical intervention and post-operative care were essential for the patient's recovery.

Implications:

  • This case underscores the importance of rapid, organized emergency medical services and surgical teams in pediatric trauma.
  • Lessons learned emphasize the necessity of specialized protocols for managing extensive impalement incidents to optimize patient outcomes.

Keywords:
Iron barpediatric patientperineal impalement injuries

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