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2014, Number 4

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Revista Cubana de Cirugía 2014; 53 (4)

Inguinal impalement; diagnostic and therapeutic challenge for emergency medical and surgeon

González PC, Palomeque JA, García SPL, Jiménez RJA

Language: Spanish
References: 10
Page: 402-407
PDF size: 126.08 Kb.


ABSTRACT

Introduction: the objective of this paper was to present a case of impalement through the inguinal region. The impalement injuries are infrequent and sometimes extremely serious. These injuries require prompt action of the emergency medical personnel and surgeon.
Clinical case: a forty-year old man, who had an occupational accident resulting in impalement of an iron rebar through the right inguinal region and penetrating abdominal cavity. The clinical case and the procedures performed in the diagnosis and treatment of these injuries were presented in detail.
Conclusions: The impalement injuries are rare and represent a challenge to the medical staff that treat the patient from the very beginning, because they can be very complex and require fast action and treatment. In many cases, the real dimension and severity of lesions at first is unknown and can only be assessed during surgery.


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