Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area
Penetrating trauma is the most frequent cause of death in patients aged 65 years and over. Penetrating trauma is often caused by armed violence, both firearms and sharp weapons, and occurs in urban civilian populations. In this case, penetrating trauma occurred in an elderly patient due to an abdomi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Jember, Faculty of Medicine
2024-03-01
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| Series: | Journal of Agromedicine and Medical Sciences (AMS) |
| Online Access: | https://jurnal.unej.ac.id/index.php/JAMS/article/view/45271 |
| _version_ | 1797238405550047232 |
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| author | Deny Dwi Hartanto Dony Ruswendro |
| author_facet | Deny Dwi Hartanto Dony Ruswendro |
| author_sort | Deny Dwi Hartanto |
| collection | DOAJ |
| description | Penetrating trauma is the most frequent cause of death in patients aged 65 years and over. Penetrating trauma is often caused by armed violence, both firearms and sharp weapons, and occurs in urban civilian populations. In this case, penetrating trauma occurred in an elderly patient due to an abdominal stab wound caused by a palm sickle when harvesting palm fruit. The location of the incident was in a rural oil palm plantation area and far from the hospital. Limited facilities and resources at the community health center where the patient was first treated, resulted in initial treatment being less than optimal and inadequate. The penetrating abdominal trauma that occurred in this patient was accompanied by intestinal evisceration and hypovolemic shock which was an absolute indication for immediate laparotomy exploration. The patient's comorbidities in the form of chronic heart failure and the patient's elderly age need to be taken into consideration and attention to prevent initial and subsequent complications. After laparotomy, the patient was able to survive and recover well without any complications.
Keywords: Penetrating abdominal trauma, intestinal evisceration, laparotomy |
| first_indexed | 2024-04-24T17:35:07Z |
| format | Article |
| id | doaj.art-87b47743d26c4f7188bdb29af7e51bc3 |
| institution | Directory Open Access Journal |
| issn | 2460-9048 2714-5654 |
| language | English |
| last_indexed | 2024-04-24T17:35:07Z |
| publishDate | 2024-03-01 |
| publisher | University of Jember, Faculty of Medicine |
| record_format | Article |
| series | Journal of Agromedicine and Medical Sciences (AMS) |
| spelling | doaj.art-87b47743d26c4f7188bdb29af7e51bc32024-03-28T05:58:34ZengUniversity of Jember, Faculty of MedicineJournal of Agromedicine and Medical Sciences (AMS)2460-90482714-56542024-03-01101121610.19184/ams.v10i1.4527145271Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural AreaDeny Dwi Hartanto0Dony Ruswendro1Department of Emergency Panglima Sebaya Regional Hospital, Paser, East Borneo, IndonesiaDepartment of Surgery, Panglima Sebaya Regional Hospital, Paser, East Borneo, IndonesiaPenetrating trauma is the most frequent cause of death in patients aged 65 years and over. Penetrating trauma is often caused by armed violence, both firearms and sharp weapons, and occurs in urban civilian populations. In this case, penetrating trauma occurred in an elderly patient due to an abdominal stab wound caused by a palm sickle when harvesting palm fruit. The location of the incident was in a rural oil palm plantation area and far from the hospital. Limited facilities and resources at the community health center where the patient was first treated, resulted in initial treatment being less than optimal and inadequate. The penetrating abdominal trauma that occurred in this patient was accompanied by intestinal evisceration and hypovolemic shock which was an absolute indication for immediate laparotomy exploration. The patient's comorbidities in the form of chronic heart failure and the patient's elderly age need to be taken into consideration and attention to prevent initial and subsequent complications. After laparotomy, the patient was able to survive and recover well without any complications. Keywords: Penetrating abdominal trauma, intestinal evisceration, laparotomyhttps://jurnal.unej.ac.id/index.php/JAMS/article/view/45271 |
| spellingShingle | Deny Dwi Hartanto Dony Ruswendro Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area Journal of Agromedicine and Medical Sciences (AMS) |
| title | Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area |
| title_full | Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area |
| title_fullStr | Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area |
| title_full_unstemmed | Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area |
| title_short | Intestinal Evisceration and Hemorrhagic Shock Due to Penetrating Abdominal Trauma in Elderly Patient at Rural Area |
| title_sort | intestinal evisceration and hemorrhagic shock due to penetrating abdominal trauma in elderly patient at rural area |
| url | https://jurnal.unej.ac.id/index.php/JAMS/article/view/45271 |
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