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Management of a crochet hook penetrating perineal injury: A case report
Asmelash Gebresilase Tewelde1, Yirgalem Teklebirhan Gebreziher2, Hadush Tesfay Negash2
1Department of Surgery, School of Medicine, Colleges of Health Sciences, Mekelle University, Ethiopia.
Insights
Emergency departments face challenges removing embedded barbed hooks, like crochet hooks, without causing further injury. A successful advance-and-cut technique was used for a child
Area of Science:
- Emergency Medicine
- Pediatric Surgery
- Medical Device Injury
Background:
- Embedded barbed hooks present a unique challenge in emergency departments (EDs).
- Crochet hooks, with their barbs, can cause significant tissue damage if not removed carefully.
- Minimizing iatrogenic injury during foreign body removal is crucial.
Abstract:
Removing an embedded barbed hook in the body without causing further tissue damage is a challenge in the emergency department (ED). A crochet hook is one of these barbed hooks. A 6-year-old male child presented to our hospital after 1 hour of crochet hook needle injury to the perineum. On perineal examination there was a sharp material imbedded in the anterior perineal area on the right side from the medial raphe. His follow-up course was uneventful. The advance-and-cut method is the most practiced and successful. The choice of management techniques depends on the anatomic location and depth of the hook.
