A Case of Severe Thoracoabdominal Impalement by a Steel Bar.
10.5090/kjtcs.2016.49.6.481
- Author:
Ki Tae KIM
1
;
Pil Won SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine, Korea. pwseo@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Penetrating;
Thoracic injuries;
Lobectomy
- MeSH:
Diaphragm;
Emergencies;
Follow-Up Studies;
Hemodynamics;
Hemorrhage;
Humans;
Liver;
Middle Aged;
Multiple Trauma;
Rehabilitation;
Resuscitation;
Scapula;
Steel*;
Thoracic Injuries;
Thoracic Wall;
Trauma Centers
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(6):481-484
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 53-year-old man arrived at the trauma center with a steel bar penetrating from the epigastrium to the right scapula. He was hypotensive and hypoxic, and immediate resuscitation and basic evaluation were performed. An emergency operation was performed due to an unstable hemodynamic state. Multiple injuries were confirmed in the right lower lobe, posterior chest wall, diaphragm, and liver lateral segment. Right lower lobectomy and liver lateral sectionectomy were performed following removal of the bar. The patient recovered without additional hemorrhage after the surgery, and was transferred to a rehabilitation institution with periodic follow-up.