Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Nov-Dec;58(6):742-5.
doi: 10.4103/0019-5049.147172.

Penetrating abdomino-thoracic injury with an iron rod: An anaesthetic challenge

Kiranpreet Kaur  1 , Suresh K Singhal  1 , Mamta Bhardwaj  1 , Prashant Kumar  1
Affiliations

Penetrating abdomino-thoracic injury with an iron rod: An anaesthetic challenge

Kiranpreet Kaur et al. Indian J Anaesth. 2014 Nov-Dec.

Abstract

Penetrating abdomino-thoracic injuries are potentially life-threatening due to the associated haemorrhagic shock and visceral injury. The management of these injuries poses specific challenges in pre-hospital care, transport, and management strategies. We report a 35-year-old male having impalement injury of the left thorax and left upper arm with a metallic rod used for construction of the house after a fall from height. One rod penetrated thorax from left shoulder and exit point was present just above the iliac crest and second rod was seen piercing left upper arm. Patient was successfully managed without any intraoperative, post-operative surgical complications, neurological damage or permanent injuries.

Keywords: Abdomino-thoracic injury; anaesthetic management; impalement injuries thorax; penetrating injuries.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Impalement injury with a metallic rod
Figure 2
Figure 2
Exit point
See this image and copyright information in PMC

References

    1. Eder F, Meyer F, Huth C, Halloul Z, Lippert H. Penetrating abdomino-thoracic injuries: Report of four impressive, spectacular and representative cases as well as their challenging surgical management. Pol Przegl Chir. 2011;83:117–22. - PubMed
    1. Panchamia V, Thaker N, Jadeja C, Shah BJ. Emergency anaesthetic management of cardio-thoracic and abdominal injury. Indian J Anaesth. 2007;51:131.
    1. Tantry TP, Kadam D, Shetty P, Adappa KK, Muralishankar B, Shenoy SP. Penetrating abdominal injury in a polytrauma patient: Anaesthetic challenges faced. J Anaesthesiol Clin Pharmacol. 2011;27:272–4. - PMC - PubMed
    1. Dar Rawat J, Goel P, Kunnur S V, Kushwaha B, Kushwaha R. Penetrating injury of pelvis, abdomen and thorax in a child with a trident (Trishula) APSP J Case Rep. 2013;4:3. - PMC - PubMed
    1. Riley B. Euroanesthesia. Madrid, Spain: 2006. Jun 3-6, Anaesthesia and Analgesia for Thoracic Trauma.