Yuki Itagaki, Nagato Sato, Ritsu Ohmine, Takuya Ikushima, Tsukasa Kaneko, Tomohide Shirosaki, Hironori Tanaka, Hirofumi Morimoto, Naoya Fukuda, Yasuaki Iimura, Satoshi Hirano
Impalement injuries are rare and complex problems, often involving multiple organ injuries. An 18-year-old male was admitted to our emergency department after a car accident. Positioned in the right-side recumbent position, he had a 4.5 cm diameter pipe penetrating from his left abdomen to his back. Given the pipe's length exceeding the CT gantry's capacity, further imaging tests were not feasible. Consequently, the patient proceeded directly to the operating room without preoperative imaging. Before laparotomy, a left thoracotomy was conducted for aortic cross-clamping, anticipating uncontrollable bleeding during pipe removal...
June 2024: Trauma Case Reports