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Covert nail injury to the back: A case report
Usama Muhammad Kathia1, Iqra Rafiq1, Bilal Hussain2
1Department of General Surgery, Lahore General Hospital, Lahore, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|June 10, 2021
Summary
Carpenters often face occupational trauma due to safety lapses. A young carpenter presented with walking difficulty, revealing an incidental iron nail in his retroperitoneum, successfully removed via laparotomy.
Area of Science:
- Orthopaedic Surgery
- Occupational Health
- Surgical Case Reports
Background:
- Occupational trauma in carpentry is prevalent, often linked to inadequate safety awareness and protective equipment use.
- Carpenters are at risk for injuries, yet severe internal foreign body trauma is uncommon.
Observation:
- A young carpenter presented with a four-day history of difficulty walking and restricted hip extension.
- Radiological investigation revealed an incidental finding of a long iron nail in the retroperitoneum, near the ascending colon and duodenum.
Findings:
- The patient underwent an elective laparotomy for the removal of the retroperitoneal iron nail.
- Post-operative recovery was successful, with complete resolution of the presenting symptoms.
Implications:
- This case highlights the importance of thorough patient history and clinical examination in diagnosing obscure injuries.
- Covert foreign body trauma, even with non-specific symptoms, should be considered in high-risk occupations like carpentry.
- Prompt surgical intervention can lead to favorable outcomes in cases of internal foreign body retention.
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