Abstract
Accidents do occur during the performance of different domestic chores in the garden. The resulting injuries can lead to serious morbidity and, in some cases, they can be fatal. We present a case of trauma, in a 69-year old man, caused by a fall from a tree on a vertical metal rod in his garden. The rod entered the abdominolumbal region on the right side making an exit above the left clavicle. On arrival, he was in a stable circulatory condition. A chest X-ray (Fig. [4]), thoracic and abdominal sonography followed by chest and abdominal CT scan (Figs. [1] - [3], [5]) were performed and they showed no severe injury of the heart, lung, bronchi, liver and right kidney. He underwent an emergent surgical intervention by a team of cardiothoracic, vascular and abdominal surgeons. Longitudinal sternotomy and laparotomy allowed us to remove the metal rod carefully with no severe signs of injuries of abdominal and thoracic organs. There were no surgical postoperative complications.
Key words
Impalement injury of thorax and abdomen - pericardial sac - pleural cavity - domestic chores
References
-
1
Cartwright A J, Taams K O, Unsworth-White M J, Mahmood N, Murphy P M.
Suicidal nonfatal impalement injury of the thorax.
Ann Thor Surg.
2001;
72
1364-1366
-
2
Madiba T E, Thomson S R, Mdlalose N.
Penetrating chest injuries in the firearm era.
Injury.
2001;
32
13-16
-
3
Bowley D M, Gordon M P, Boffard K D.
Thoracic impalement after ultralight aircraft crash.
J Thor Cardiovasc Surg.
2003;
125
954-955
-
4
von Opell U O, Bautz P, de Groot M.
Penetrating thoracic injuries: what we have learned.
Thor Cardiothor Surgeon.
2000;
48
55-61
-
5
Fradet G, Nelems B, Müller N L.
Penetrating injury of the torso with impalement of the thoracic aorta: preoperative value of the computed tomographic scan.
Ann Thor Surg.
1988;
45
680-681
-
6
Lauterjung K L, Hofmann G O, Mittlmeier T, Huf R.
Thoracic and abdominal injuries in polytrauma.
Chirurg.
1987;
58
641-647
-
7
Ziegenfuss T.
Emergency management of polytrauma patients.
Zentralbl Chir.
1996;
121
924-942
MD Andrea Friedl
Department of Cardiac and Thoracic Surgery
University Hospital
Leipziger Strasse 44
31920 Magdeburg
Germany
Email: andrea.friedl@medizin.uni-magdeburg.de
