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Transperineal abdomino-thoracic impalement
Nandakumar B M1, Srikantaiah Hiremath2, Mukund D2
1General Surgery, MS Ramaiah Medical College, Bengaluru, Karnataka, India nandakumarm548@gmail.com.
BMJ Case Reports
|April 30, 2025
Summary
Transperineal abdomino-thoracic impalement is a rare injury. This case highlights successful management using Advanced Trauma Life Support principles, emphasizing multidisciplinary care for survival.
Area of Science:
- Traumatology
- Surgical Management
- Penetrating Injuries
Background:
- Transperineal abdomino-thoracic impalement is an exceptionally rare and severe penetrating trauma.
- Limited documented cases and absence of specific treatment guidelines pose significant surgical challenges.
- Understanding complex anatomical relationships of the perineum is critical for managing these injuries.
Purpose of the Study:
- To report a case of transperineal abdomino-thoracic impalement.
- To emphasize the successful application of established trauma management principles.
- To highlight the importance of a multidisciplinary approach in rare impalement injuries.
Main Methods:
- Case report of a young male patient with transperineal abdomino-thoracic impalement.
- Management followed Advanced Trauma Life Support (ATLS) protocols.
- Multidisciplinary surgical and critical care approach was employed.
Main Results:
- The patient, a male in his twenties, survived the severe impalement injury.
- Minimal morbidity was observed despite the extensive nature of the trauma.
- Successful outcome achieved through adherence to established trauma care principles.
Conclusions:
- Transperineal abdomino-thoracic impalement, though rare, can be managed successfully.
- Adherence to Advanced Trauma Life Support principles is crucial for patient survival.
- A multidisciplinary team approach is essential for optimizing outcomes in complex impalement injuries.
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