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An Unusual Lawn Mower Injury: A Case Report.

Maxwell Davison-Kerwood¹, David M Langley¹, Alfredo Cordova²

¹Emergency Medicine, Florida State University College of Medicine, Sarasota, USA.

|February 25, 2025

Summary

A man with abdominal pain from mowing his lawn had a rare penetrating injury. Prompt diagnosis with ultrasound and CT led to surgical removal and full recovery.

Keywords:

battlefield medicine emergency medicine and trauma emergency medicine physician general trauma surgery high-velocity trauma lawn mowing injuries military trauma penetrating abdominal trauma point-of-care ultrasound projectile removal

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Area of Science:

Trauma Surgery
Diagnostic Imaging

Background:

Penetrating abdominal injuries necessitate rapid diagnosis and surgical intervention.
Lawn mower injuries, though uncommon, pose a significant risk for penetrating trauma.

Observation:

A 48-year-old male presented with abdominal pain after mowing his lawn, lacking external trauma signs.
Point-of-care ultrasound identified a foreign body beneath the abdominal wall, confirmed by CT scan.

Findings:

A rare case of penetrating abdominal injury from a lawn mower foreign body was successfully managed.
Surgical retrieval of the intra-abdominal foreign body resulted in an excellent patient outcome.

Implications:

Highlights the importance of considering unusual mechanisms in penetrating abdominal trauma.
Emphasizes the utility of point-of-care ultrasound and CT in diagnosing occult foreign bodies.
Underscores the need for awareness regarding lawn mower-related projectile injuries.