Nigerian Journal of Clinical Practice

CASE REPORT
Year
: 2017  |  Volume : 20  |  Issue : 9  |  Page : 1210--1212

Impalement injury to the abdomen: Report of a case


IA Udo1, O Eta2, C Sokwa3, E Etuknwa2 
1 Department of Surgery, University of Uyo, Uyo, Nigeria
2 Department of Anaesthesia, University of Uyo Teaching Hospital, Uyo, Nigeria
3 Department of Obstetrics and Gynaecology, University of Uyo Teaching Hospital, Uyo, Nigeria

Correspondence Address:
I A Udo
Department of Surgery, University of Uyo, Uyo
Nigeria

Impalement presents a combination of injuries severe enough to cause the homeostatic mechanisms to malfunction or fail. It challenges the abilities of the managing team as well as the available medical resources. Its management is even more demanding in environments where health-care personnel, facilities for emergency care, and communications infrastructure are absent or poorly funded and equipped. The primary objective of managing impalement injuries is to prevent further injuries and preserve or restore homeostasis. Leaving the impaling object in situ until in the operating room is a time proven approach as it allows for managing life-threatening hemorrhage in the operating room. Adequate volume replacement, good visualization, debridement of injuries, and anti-infective measures are complementary. We present a case of type I abdominal impalement in a young man who sustained minimal visceral or neurovascular injuries and underwent exploratory laparotomy for his injuries; he developed a traumatic incisional hernia. He defaulted on the scheduled hernia repair.


How to cite this article:
Udo I A, Eta O, Sokwa C, Etuknwa E. Impalement injury to the abdomen: Report of a case.Niger J Clin Pract 2017;20:1210-1212


How to cite this URL:
Udo I A, Eta O, Sokwa C, Etuknwa E. Impalement injury to the abdomen: Report of a case. Niger J Clin Pract [serial online] 2017 [cited 2021 Sep 24 ];20:1210-1212
Available from: https://www.njcponline.com/article.asp?issn=1119-3077;year=2017;volume=20;issue=9;spage=1210;epage=1212;aulast=Udo;type=0