Unusual management of thoracoabdominal impalement injury to the right hemiliver and diaphragm  

作　　者：Raimundas Lunevicius Adrian O'Sullivan 

机构地区：[1]Cheshire and Merseyside Major Trauma Centre, Aintree University Hospital NHS Foundation Trust, Lower Lane, Liverpool L9 7AL, United Kingdom [2]King's Major Trauma Centre, King's College Hospital NHS Foundation Trust, King's Health Partners, Denmark Hill, London SE5 9RS, United Kingdom

出　　处：《Chinese Journal of Traumatology》2014年第1期41-43,共3页中华创伤杂志（英文版）

摘　　要：Laparotomy or thoracolaparotomy is a traditional management approach for thoracoabdominal im- palement injury associated with major liver and diaphrag- matic injuries. We successfully treated the impalement in- jury with minimally invasive management. A male was brought to our trauma centre with the 15 cm long handle of the knife protruded from right lateral thoracoabdominal region. CT scan revealed that the knife blade traversed through the right costophrenic recess into segment 8 of the liver. There was an intraparenchymal haematoma and a col- lection of fluid in the abdominal cavity. The conservativemanagement plan consisting of removing the impaled knife, observing, monitoring and managing complications was undertaken. A multidisciplinary approach to manage a pa- tient with less invasive techniques yielded a good outcome. This management option may be considered as an alterna- tive for open surgery for hemodynamically stable patients in experienced centres.

关 键 词：Thoracic injuries Abdominal injuries Wounds  penetrating 

分 类 号：R641[医药卫生—外科学]