J Acute Care Surg.  2018 Oct;8(2):71-73. 10.17479/jacs.2018.8.2.71.

Stab Wound Extension for the Eviscerated Small Bowel with Severe Ischemic Changes

• Lee CK
• Park CY
• Yeo KH
• Kim HH

• KMID: 2434941
• DOI: http://doi.org/10.17479/jacs.2018.8.2.71

Abstract

An abdominal stab wound with evisceration is an indication of an emergency laparotomy. We encountered a case of a very severe ischemic change in the eviscerated small bowel as a result of stabbing. The patient was considered to have a high possibility of progressing to strangulation of the small bowel. Therefore, a stab wound extension was performed as a decompression in the emergency department before definite surgery in the operating room. Most of the small bowel could be saved except for the segment with the damage caused by the stab injury. The patient was discharged without complications.

Keyword

Abdominal stab wound; Eviscerated small bowel; Decompressive wound extension; Emergency room

MeSH Terms

Decompression
Emergencies
Emergency Service, Hospital
Humans
Laparotomy
Operating Rooms
Wounds, Stab*