Korean J Thorac Cardiovasc Surg.  2016 Dec;49(6):481-484. 10.5090/kjtcs.2016.49.6.481.

A Case of Severe Thoracoabdominal Impalement by a Steel Bar

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Dankook University College of Medicine, Korea. pwseo@dankook.ac.kr

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.

Keyword

Penetrating; Thoracic injuries; Lobectomy

MeSH Terms

Diaphragm
Emergencies
Follow-Up Studies
Hemodynamics
Hemorrhage
Humans
Liver
Middle Aged
Multiple Trauma
Rehabilitation
Resuscitation
Scapula
Steel*
Thoracic Injuries
Thoracic Wall
Trauma Centers
Steel
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