Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula
Impalement injuries though relatively uncommon are some of the most dramatic and are known to cause significant damage due to the forces involved, the combination of blunt and penetrating mechanisms, and wound contamination.They generally occur following falls from a height, motor vehicle accidents...
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Format: | Article |
Language: | English |
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Elsevier
2023-02-01
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Series: | Trauma Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023000183 |
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author | T. McKitterick J. Ipsen J. Cover |
author_facet | T. McKitterick J. Ipsen J. Cover |
author_sort | T. McKitterick |
collection | DOAJ |
description | Impalement injuries though relatively uncommon are some of the most dramatic and are known to cause significant damage due to the forces involved, the combination of blunt and penetrating mechanisms, and wound contamination.They generally occur following falls from a height, motor vehicle accidents or other high velocity mechanisms. Their management requires specific consideration to the prehospital management of the impaling object, management of any organs injured and appropriate debridement and washout of the tract.We report a case of a scrotal impalement traversing the abdominal cavity and causing a colonic injury and a rib fracture which resulted in a chronic discharging sinus from the patient's retroperitoneum. |
first_indexed | 2024-04-10T16:27:12Z |
format | Article |
id | doaj.art-b105274cae5d4003acb81e625dfe4be2 |
institution | Directory Open Access Journal |
issn | 2352-6440 |
language | English |
last_indexed | 2024-04-10T16:27:12Z |
publishDate | 2023-02-01 |
publisher | Elsevier |
record_format | Article |
series | Trauma Case Reports |
spelling | doaj.art-b105274cae5d4003acb81e625dfe4be22023-02-09T04:14:20ZengElsevierTrauma Case Reports2352-64402023-02-0143100770Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistulaT. McKitterick0J. Ipsen1J. Cover2Corresponding author.; General Surgery Department, Bunbury Hospital, South West Health Campus, Bunbury, WA 6230, AustraliaGeneral Surgery Department, Bunbury Hospital, South West Health Campus, Bunbury, WA 6230, AustraliaGeneral Surgery Department, Bunbury Hospital, South West Health Campus, Bunbury, WA 6230, AustraliaImpalement injuries though relatively uncommon are some of the most dramatic and are known to cause significant damage due to the forces involved, the combination of blunt and penetrating mechanisms, and wound contamination.They generally occur following falls from a height, motor vehicle accidents or other high velocity mechanisms. Their management requires specific consideration to the prehospital management of the impaling object, management of any organs injured and appropriate debridement and washout of the tract.We report a case of a scrotal impalement traversing the abdominal cavity and causing a colonic injury and a rib fracture which resulted in a chronic discharging sinus from the patient's retroperitoneum.http://www.sciencedirect.com/science/article/pii/S2352644023000183ImpalementRetroperitoneal fistulaTraumaColonic injury |
spellingShingle | T. McKitterick J. Ipsen J. Cover Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula Trauma Case Reports Impalement Retroperitoneal fistula Trauma Colonic injury |
title | Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula |
title_full | Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula |
title_fullStr | Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula |
title_full_unstemmed | Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula |
title_short | Scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula |
title_sort | scrotal impaling injury causing ascending colon perforation and retroperitoneal fistula |
topic | Impalement Retroperitoneal fistula Trauma Colonic injury |
url | http://www.sciencedirect.com/science/article/pii/S2352644023000183 |
work_keys_str_mv | AT tmckitterick scrotalimpalinginjurycausingascendingcolonperforationandretroperitonealfistula AT jipsen scrotalimpalinginjurycausingascendingcolonperforationandretroperitonealfistula AT jcover scrotalimpalinginjurycausingascendingcolonperforationandretroperitonealfistula |