Related Experiment Video
Updated: Aug 1, 2026

Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Transperineal abdomino-thoracic impalement
Nandakumar B M1, Srikantaiah Hiremath2, Mukund D2
1General Surgery, MS Ramaiah Medical College, Bengaluru, Karnataka, India nandakumarm548@gmail.com.
Abstract:
Transperineal abdomino-thoracic impalement is a rare and complex penetrating injury that can present a significant challenge to surgeons worldwide. Due to its rarity, there are no established treatment guidelines for such scenarios. Management typically follows Advanced Trauma Life Support principles, emphasising the importance of a multidisciplinary approach. Detailed knowledge of the intricate anatomical relationships of the perineum and the catastrophic nature of such injuries is essential. To date, only eight cases of perineal impalement traversing the abdomen and thoracic cavity have been documented in the literature. Here, we describe the case of a male in his twenties who survived a transperineal abdomino-thoracic impalement with minimal morbidity, underscoring the importance of adhering to established principles in the management of impalement injuries.
Related Concept Videos
Abdominal Regions and Quadrants
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
Abdominal Aorta
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Peritoneum
Anatomy of the Peritoneum
The peritoneum is divided into two layers: the parietal peritoneum and the visceral...
Gross Anatomy of the Stomach
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Hiatal Hernia

