A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review
Perforating chest wall injuries involving the pericardial sac in pediatric patients are exceedingly rare and pose a unique clinical challenge. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. We present a case of an 8-year-old boy with an acute hist...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023002091 |
| _version_ | 1797405369631244288 |
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| author | Venkata Sai Harshabhargav Chenna Lokeshwar Raaju Addi Palle Sanni Emmanuel Ayushman Gupta Deepa Treesa Francis Akbar Hussain Rojaj Dahal Carlo Kristian Chu Carredo Sandra Mary Francis Tulika Garg Ogbonnaya Akuma Aadil M. Khan |
| author_facet | Venkata Sai Harshabhargav Chenna Lokeshwar Raaju Addi Palle Sanni Emmanuel Ayushman Gupta Deepa Treesa Francis Akbar Hussain Rojaj Dahal Carlo Kristian Chu Carredo Sandra Mary Francis Tulika Garg Ogbonnaya Akuma Aadil M. Khan |
| author_sort | Venkata Sai Harshabhargav Chenna |
| collection | DOAJ |
| description | Perforating chest wall injuries involving the pericardial sac in pediatric patients are exceedingly rare and pose a unique clinical challenge. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. We present a case of an 8-year-old boy with an acute history of a sharp injection needle embedded in his chest wall presented with severe chest pain and diaphoresis. Diagnostic evaluations included computed tomography revealed a hyperdense focus with a metallic artefact seen impacted in the interventricular septa and perforating the heart. He underwent a thoracotomy and cardioplegic arrest for needle retrieval and subsequent cardiac repair. Our case underscores the importance of a multidisciplinary approach, meticulous monitoring, and a profound understanding of the unique anatomical considerations in pediatric chest injuries. Summary: This article presents a rare and challenging case of an 8-year-old male who arrived at the emergency department with a sharp injection needle embedded in his chest wall. Despite being relatively rare in children, thoracic injuries can be severe and potentially life-threatening. A fast and accurate diagnostic approach is crucial to prevent fatal complications. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. Timely diagnosis and appropriate interventions are critical in improving patient outcomes. The presented case highlights the need for caution and a well-planned approach in managing such rare and complex injuries in children. |
| first_indexed | 2024-03-09T03:09:03Z |
| format | Article |
| id | doaj.art-755e03eb1f6f47bbb14b0eca2f0bb334 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:09:03Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-755e03eb1f6f47bbb14b0eca2f0bb3342023-12-04T05:23:20ZengElsevierTrauma Case Reports2352-64402023-12-0148100962A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature reviewVenkata Sai Harshabhargav Chenna0Lokeshwar Raaju Addi Palle1Sanni Emmanuel2Ayushman Gupta3Deepa Treesa Francis4Akbar Hussain5Rojaj Dahal6Carlo Kristian Chu Carredo7Sandra Mary Francis8Tulika Garg9Ogbonnaya Akuma10Aadil M. Khan11Medicine, University of Perpetual Help System Dalta, Las Pinas, PhilippinesDepartment of Surgery, Kamala Children's Hospital, Chennai, IndiaSurgery, National Hospital Abuja, Abuja, NigeriaInternal Medicine, University of Jammu, Jammu, IndiaDepartment of Internal Medicine, Windsor University School of Medicine, Cayon, Saint Kitts and NevisJinnah Sindh Medical University, Karachi, PakistanDepartment of Internal Medicine, Manipal College of Medical Sciences (MCOMS), Pokhara, Nepal; Corresponding author at: Department of Internal Medicine, Manipal College of Medical Sciences (MCOMS), Deep Heights-16, Pokhara 33700, Nepal.Cebu Institute of Medicine, Cebu, PhilippinesDepartment of Internal Medicine, Windsor University School of Medicine, Cayon, Saint Kitts and NevisGovernment Medical College and Hospital, Chandigarh, IndiaEbonyi State University, Abakaliki, NigeriaDepartment of Trauma Surgery, OSF St Francis Medical Center, Peoria, USAPerforating chest wall injuries involving the pericardial sac in pediatric patients are exceedingly rare and pose a unique clinical challenge. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. We present a case of an 8-year-old boy with an acute history of a sharp injection needle embedded in his chest wall presented with severe chest pain and diaphoresis. Diagnostic evaluations included computed tomography revealed a hyperdense focus with a metallic artefact seen impacted in the interventricular septa and perforating the heart. He underwent a thoracotomy and cardioplegic arrest for needle retrieval and subsequent cardiac repair. Our case underscores the importance of a multidisciplinary approach, meticulous monitoring, and a profound understanding of the unique anatomical considerations in pediatric chest injuries. Summary: This article presents a rare and challenging case of an 8-year-old male who arrived at the emergency department with a sharp injection needle embedded in his chest wall. Despite being relatively rare in children, thoracic injuries can be severe and potentially life-threatening. A fast and accurate diagnostic approach is crucial to prevent fatal complications. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. Timely diagnosis and appropriate interventions are critical in improving patient outcomes. The presented case highlights the need for caution and a well-planned approach in managing such rare and complex injuries in children.http://www.sciencedirect.com/science/article/pii/S2352644023002091Perforating chest wallPericardial sacChest traumaPediatric chest injuryPenetrating trauma |
| spellingShingle | Venkata Sai Harshabhargav Chenna Lokeshwar Raaju Addi Palle Sanni Emmanuel Ayushman Gupta Deepa Treesa Francis Akbar Hussain Rojaj Dahal Carlo Kristian Chu Carredo Sandra Mary Francis Tulika Garg Ogbonnaya Akuma Aadil M. Khan A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review Trauma Case Reports Perforating chest wall Pericardial sac Chest trauma Pediatric chest injury Penetrating trauma |
| title | A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review |
| title_full | A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review |
| title_fullStr | A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review |
| title_full_unstemmed | A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review |
| title_short | A rare case of perforating chest wall including pericardial sac with penetrating trivial injury: A case report and literature review |
| title_sort | rare case of perforating chest wall including pericardial sac with penetrating trivial injury a case report and literature review |
| topic | Perforating chest wall Pericardial sac Chest trauma Pediatric chest injury Penetrating trauma |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023002091 |
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